{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:41:13Z","timestamp":1777880473908,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2005,8,1]],"date-time":"2005-08-01T00:00:00Z","timestamp":1122854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"},{"start":{"date-parts":[[2005,8,1]],"date-time":"2005-08-01T00:00:00Z","timestamp":1122854400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2005,8]]},"abstract":"<jats:p>This is a case report of an extremely rare condition of atlanto-axial subluxation secondary to gouty arthritis, which mimicked rheumatoid arthritis at presentation. Gouty arthritis involving the spine is a rare condition. We highlight a case of gouty arthritis involving the atlanto-axial joint resulting in joint instability, subluxation, and neurological deficit. A 66-year-old obese woman who had a polyarticular disease for the previous 3 years presented with neck pain and progressive neurology. A 2-stage procedure was performed: posterior decompression and occipitocervical fusion followed by further anterior trans-oral decompression. However, after an initial neurological improvement, she succumbed to aspirational pneumonia and septicaemia. Atlanto-axial subluxation caused by gouty arthritis can present in the same way as rheumatoid arthritis. Therefore, the possibility of this as a differential diagnosis should be kept in mind.<\/jats:p>","DOI":"10.1177\/230949900501300220","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"203-206","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Tophaceous Gout Causing Atlanto-Axial Subluxation Mimicking Rheumatoid Arthritis: A Case Report"],"prefix":"10.1177","volume":"13","author":[{"given":"NN","family":"Wazir","sequence":"first","affiliation":[{"name":"Department of Orthopaedic surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Moorthy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Amalourde","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HH","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic surgery, University Malaya Medical Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,8,1]]},"reference":[{"key":"bibr1-230949900501300220","first-page":"1170","volume":"48","author":"Barrett K","year":"2001","journal-title":"Neurosurgery"},{"key":"bibr2-230949900501300220","first-page":"1949","volume":"17","author":"Bonaldi VM","year":"1996","journal-title":"Am J Neuroradiol"},{"key":"bibr3-230949900501300220","first-page":"621","volume":"16","author":"Clerc D","year":"1998","journal-title":"Clin Exp Rheumatol"},{"key":"bibr4-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1673.1987.tb01799.x"},{"key":"bibr5-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1097\/00124743-199912000-00007"},{"key":"bibr6-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1136\/ard.9.4.282"},{"key":"bibr7-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/27.5.413"},{"key":"bibr8-230949900501300220","first-page":"862","volume":"11","author":"Miller JD","year":"1984","journal-title":"J Rheumatol"},{"key":"bibr9-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780300224"},{"key":"bibr10-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780281118"},{"key":"bibr11-230949900501300220","doi-asserted-by":"publisher","DOI":"10.1148\/103.2.311"},{"key":"bibr12-230949900501300220","first-page":"421","volume":"15","author":"Dhote R","year":"1997","journal-title":"Clin Exp Rheumatol"},{"key":"bibr13-230949900501300220","first-page":"188","volume":"66","author":"Jacobs SR","year":"1985","journal-title":"Arch Phys Med Rehabil"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900501300220","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900501300220","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:12:37Z","timestamp":1777594357000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900501300220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,8]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2005,8]]}},"alternative-id":["10.1177\/230949900501300220"],"URL":"https:\/\/doi.org\/10.1177\/230949900501300220","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,8]]}}}