Thompson G H, Khan M A, Bilenker R M
Spine (Phila Pa 1976). 1982 Jan-Feb;7(1):78-9. doi: 10.1097/00007632-198200710-00014.
Juvenile-onset ankylosing spondylitis is an unusual disorder which can present with either peripheral arthritis or with more classic hip girdle and back symptoms. Atlantoaxial instability has been recognized as a late complication in only one patient and has not been reported as an early manifestation. This paper presents a case in which atlantoaxial instability and neck pain without neurologic involvement was a presenting manifestation. The laboratory and clinical features of juvenile ankylosing spondylitis are discussed, along with the importance of qualitative sacroiliac joint scintigraphy in the diagnosis of early or confusing cases.
青少年型强直性脊柱炎是一种罕见的疾病，可表现为外周关节炎或更典型的髋部及背部症状。寰枢椎不稳仅在1例患者中被认为是晚期并发症，尚未见作为早期表现的报道。本文报告1例以寰枢椎不稳和无神经受累的颈部疼痛为首发表现的病例。文中讨论了青少年强直性脊柱炎的实验室检查和临床特征，以及骶髂关节定性闪烁扫描在早期或疑难病例诊断中的重要性。
