J Korean Soc Spine Surg.  2002 Dec;9(4):374-379. 10.4184/jkss.2002.9.4.374.

Cervical Myelopathy due to Ossification of Yellow Ligament in a Patient with Reiter's Syndrome

Affiliations
  • 1Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Korea. sks111@khmc.or.kr

Abstract

Reiter's syndrome is described as an inflammation of the joints and tendon attachments at the joints, and is often accompanied by an inflammation of the eye;s conjunctiva and the mucous membranes, such as those of the mouth, urinary tract, vagina, and penis, and by a distinctive rash. Ossification of the yellow ligament associated with Reiter's syndrome has never been reported A 41-year old male patient with Reiter's syndrome was admitted to our hospital due to cervical myelopathy caused by ossification of yellow ligament. He was treated with laminectomy and fusion, from C3 to C7, by using a lateral mass screw and plate fixation. Laminectomy and fusion seems to be an appropriate treatment option for cervical myelopathy due to ossification of yellow ligament.

Keyword

Cervical myelopathy; Ossification of yellow ligament; Reiter's syndrome

MeSH Terms

Adult
Conjunctiva
Exanthema
Humans
Inflammation
Joints
Laminectomy
Ligaments*
Male
Mouth
Mucous Membrane
Penis
Spinal Cord Diseases*
Tendons
Urinary Tract
Vagina

Figure

  • Fig. 1. Plain radiographs show joint space narrowing with sclerosis of the knee and the hip joints and show bony ankylosis of the wrist with fusion of the carpal bone.

  • Fig. 2. Plain radiographs show bony ankylosis of the lumbar spine.

  • Fig. 3. Flexion and extension lateral radiography of the cervical spine shows ankylosis of C1-2 and C4-5 segments with bony fusion of C4-5 facet joints.

  • Fig. 4. T2 sagittal MR image shows high signal intensity lesion in the cord (Large arrow) with compression of spinal cord by ossified yellow ligament (small arrow). T2 axial MR image and CT scan show compression of spinal cord by hypertrophied yellow ligament with ossification.

  • Fig. 5. Postoperative plain radiography of the cervical spine shows good decompression with fusion using lateral mass screws and plate fixation. Black arrow indicates partial preservation of the C7 spinous process.


Reference

1). Barozzi L, Olivieri I, De Matteis M, Padula A and Pavlica P. Seronegative spondyloarthropathies: imaging of spondylitis, enthesitis and dactylitis. Eur J Radiol. 27:S12–7. 1998.
2). Brewerton DA, Caffrey M, Nicholls A, Walters D, Oates JK and James DC. Acute anterior uveitis and HL-A 27. Lancet. 2:996–8. 1973.
Article
3). Ford DK. Arthritis and venereal urethritis. Br J Vener Dis. 29:123. 1953.
Article
4). Halla JT, Bliznak J and Hardin JG. Involvement of the craniocervical junction in Reiter's syndrome. J Rheuma -tol. 15(11):1722–5. 1988.
5). Keat A, Thomas B, Dixey J, Osborn M, Sonnex C and Taylor-Robinson D. Chlamydia trachomatis and reactive arthritis: The missing link. Lancet. 1:72–4. 1987.
Article
6). Kransdorf MJ, Wehrle PA and Moser RP. Atlantoaxial subluxation in Reiter's syndrome. A report of three cases and review of the literature. Spine. 13(1):12–4. 1988.
7). Marche J. L'atteinte des articulations sacroiliaques dans lesyndrome'dit'de Reiter. Rev Rhum. 17:449. 1950.
8). Moilanen A, Yi-Kerrtula U and Vippula A. Cervical spine involvements in Reiter's syndrome. ROFO Fortschr Geb Rontgenstr Nuklearmed. 141(1):84–7. 1984.
Article
9). Murray RS, Oates JK and young AC. Radio log ica l changes in Reiter's syndrome and arthritis associated with urethritis. J Fac Radiol. 9:37. 1958.
10). Oates JK and Young AC. Sacroiliitis in Reiter's disease. BJM. 1:1013. 1959.
11). Paronen I: Reiter's disease. A study of 344 cases observed in Finland. Acta Med Scand. 131(212):1. 1948.
12). Schumacher HR, Magge S, Cherian PV, Sleckman J, Rothfuss S, Clayburne G and Sieck M. Light and elec -tron microscopic studies on the synovial membrane in Reiter's syndrome. Immunocytochemical identification of chlamydial antigen in patients with early disease. Arthritis Rheu. 31(8):937–46. 1988.
13). Suk KS, Kim KT, Lee SH and Rhu KN. Measurement of lateral mass of cervical spine using MRI for lateral mass screw fixation. J Kor Spine Surg. 9(2):121–6. 2002.
14). Willkens RF, Arnett FC, Bitter T, Callin A, Fisher L, Ford DK, Good AE and Masi AT. Reiter's syndrome. Evaluation of preliminary criteria for definite disease. Arthritis Rheum. 24(6):844–9. 1981.
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