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J Bone Joint Surg Br. 1986 May;68(3):350-6.

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

Abstract

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 posterior occipitocervical fusion, which removes both bony and soft-tissue causes of compression and allows early mobilisation without major external fixation. We report encouraging results from this combined approach in 14 patients who had progressive neurological deterioration.

PMID:
3733795
[Indexed for MEDLINE]

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