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ID 16067
Eprint ID
16067
FullText URL
99_1613.pdf 1.54 MB
Title Alternative
A case report of five rheumatoid patients with posterior atlanto-axial subluxation
Author
Nishizawa, Masato
井上 一
横山 良樹
平田 常雄
山崎 廣一
Abstract
In progressive rheumatoid arthritis (RA), arthritic affection of the upper cervical spine is relatively common, mainly manifesting atlanto-axial subluxation (AAS). However, posterior AAS (PAAS) is a very rare condition. We reviewed five RA patients with PAAS. All of the patients were aged women with progressive RA, who had been treated with steroids and had been hospitalized for many years. Two patients had symptoms of myelopathy due to spinal cord compression, and another one suffered from severe pain in the neck. These three cases were treated surgically with posterior atlanto-axial fusion or posterior occipito-cervical fusion, and the result was good. Conservative treatment has been indicated for the other two patients with only instability as indicated by stress X-ray. X-ray examination confirmed that the most remarkable finding was PAAS due to destruction or disappearance of the odontoid process. The more severely the odontoid process was eroded, the more backward the atlas was dislocated.
Keywords
慢性関節リウマチ
環軸関節後方亜脱臼
手術的治療
Published Date
1987-12-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume99
Issue
issue11-12
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
1613
End Page
1621
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/99/11-12/99_11-12_1613/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/index.html
language
日本語
Copyright Holders
岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma