Fatal Atlanto-Axial Luxation in Rheumatoid Arthritis
نویسندگان
چکیده
Fatal atlanto-axial dislocation occurred in two patients with rheumatoid arthritis and in both there were severe degenerative changes in the spinal ligaments and skeletal muscle in this area. Attention is called to the frequency of spontaneous cervical dislocations in rheumatoid patients and the advisability of obtaining routine radiographic examination of the cervical spine in patients with advanced disease. Mortal dislocation atlanto-axial occurreva in duo patientes con arthritis rheumatoidee. Ambes monstrava sever alterationes degeneratori in le ligamentos spinal e le musculo skeletic in iste area. Es signalate le frequentia de spontanee dislocationes cervical in patientes rheumatoidee e le desirabilitate de obtener routinarimente examines radiographic del spina cervical in patientes con morbo avantiate.
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Spontaneous forward luxation at the atlanto-axial level is a well-known and common complication of rheumatoid arthritis. The distance between the articular surface of the odontoid process of the axis and the corresponding articular surface of the atlas should not normally exceed 3 mm. in adults; a larger distance indicates luxation. Conlon, Isdale. and Rose (1966) found luxation between atlas a...
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Neck involvement in cases of rheumatoid arthritis is extremely common, and the radiological features have been investigated by several authors, particularly Martel (1961, 1964), Bland, Davis, London, Van Buskirk, and Duarte(1963), Serre, Simon, Janicot, and Levy (1964) and Conlon, Isdale, and Rose (1966). The features most characteristic are atlanto-axial subluxation, serial subluxation, and di...
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Luxation of the cervical spine, if looked for, is commonly observed at some stage during the longterm care of patients with rheumatoid arthritis. At the atlanto-axial level up to a quarter of patients admitted to hospital with rheumatoid arthritis can be expected to have luxations and about half will have subaxial luxations at two or more levels (Sharp and Purser, 1961; Conlon, Isdale, and Rose...
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