Cervical collars in rheumatoid atlanto-axial subluxation: a radiographic comparison.

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Cervical collars in rheumatoid atlanto-axial subluxation: a radiographic comparison.

Atlanto-axial subluxation occurs with a frequency varying from 6% to 45% in rheumatoid arthritis. Most patients are treated conservatively with a cervical collar. The effectiveness of different cervical collars in inhibiting anterior atlanto-axial subluxation was tested in 11 patients with classical rheumatoid arthritis. None of the collars had any major influence in inhibiting anterior subluxa...

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Atlanto-axial subluxation in rheumatoid arthritis.

In 1969 the results of a survey of atlanto-axial subluxation in all seventy-six consecutive rheumatoid patients attending a clinic were published (Mathews, 1969). Abnormal separation of the odontoid process from the anterior arch of the atlas was found in nineteen (25%) patients and was found to be more common in patients with more serious forms of the disease. In addition, an abnormal vertical...

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Traumatic atlanto-axial subluxation.

Traumatic atlanto-axial subluxation is a rare injury which may not be revealed on routine radiographs, especially when there is muscle spasm. We report on seven patients with atlanto-axial subluxation as a result of neck injury; only two of them had significant head injuries. Three patients presented with a neurological deficit attributable to the injury, one immediate and two with delayed onse...

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Lateral subluxation of the atlanto-axial joint in rheumatoid arthritis.

Involvement of the cervical spine by rheumatoid disease is common, but lateral subluxation at the atlanto-axial level has not been recorded previously. The condition is due to asymmetrical erosion of the lateral atlanto-axial facet joint, and may be complicated by collapse of the lateral mass of the axis. The condition should be suspected in patients with rheumatoid arthritis (RA) who present w...

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Transoral decompression and posterior fusion for rheumatoid atlanto-axial subluxation.

Cervical myelopathy is an uncommon but potentially fatal complication of rheumatoid atlanto-axial subluxation. Computerised myelotomography with three-dimensional reconstruction shows that rheumatoid pannus, together with the odontoid peg, contributes significantly to anterior cervico-medullary compression. These findings were the basis for treatment by transoral anterior decompression and post...

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ژورنال

عنوان ژورنال: Annals of the Rheumatic Diseases

سال: 1980

ISSN: 0003-4967

DOI: 10.1136/ard.39.5.485