Four cases of posterior fusion for atlanto-axial subluxation due to RA.

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概要

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• We have recently experienced four cases of posterior fusion of Atlanto-Axial Subluxation due to RA. These operative indications were severe occipitalgia and neck pain in all cases. All cases were operated on by modified Brooks procedure, and in one case, posterior fusion including occiput was added. In peri-operative period, all four were fixed with BTA brace. Pain in all cases was diminished or disappeared postoperatively.Three of four cases, which had anterior subluxation, have had solid fusion, but in one case, which had, so called, superior migration, bone fusion was unclear.We have reviewed these cases, and measured SMO, which means "Superior Migration of Odontoid process" described by C. S. Ranawat et al in 1981, retrospectively. We found SMO was a very easy and available index of superior migration, that shows destruction of lateral mass of atlant-axial facet joint.

• 西日本整形・災害外科学会の論文

著者

• 飯田 博幸

  福岡大学整形外科

• 小野 哲男

  福岡逓信病院整形外科

• 小川 昭一郎

  溝口病院

• 吉井 一郎

  福岡逓信病院整形外科

• 岩倉 集

  溝口病院

• 坂本 央

  福岡逓信病院整形外科

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• Four cases of posterior fusion for atlanto-axial subluxation due to RA.

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