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Cervical spine involvements in Reiter's syndrome
Summary
Cervical spine involvement in Reiter's syndrome (RS) is rare, affecting only 3.4% of patients. These rare cervical lesions are indistinguishable from those seen in other chronic rheumatic inflammatory diseases.
Area of Science:
- Rheumatology
- Orthopedics
- Radiology
Background:
- Reiter's syndrome (RS), now known as reactive arthritis, is a form of inflammatory arthritis.
- Cervical spine involvement is not commonly associated with RS.
Purpose of the Study:
- To investigate the prevalence and characteristics of cervical spine manifestations in patients with Reiter's syndrome.
- To compare cervical lesions in RS with those in other chronic rheumatic diseases.
Main Methods:
- Retrospective review of cervical spine radiographs.
- Analysis of 145 consecutive cases of Reiter's syndrome.
- Identification and classification of cervical spine abnormalities.
Main Results:
- Cervical spine manifestations were identified in 5 out of 145 patients (3.4%).
- Observed lesions included anterior atlanto-axial dislocation, craniovertebral lesions, spondylitis, and anterior ossification.
- The observed cervical lesions were not unique to RS and resembled those in rheumatoid arthritis and ankylosing spondylitis.
Conclusions:
- Cervical spine involvement in Reiter's syndrome is uncommon.
- Cervical lesions in RS are clinically and radiographically indistinguishable from those in other chronic inflammatory rheumatic conditions.