Radiographic studies of the middle and lower cervical spine in rheumatoid arthritis.

概要

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We investigated X-ray findings and the clinical features of the middle and lower cervical spine in 231 patients with rheumatoid arthritis.The resutls were as follows.1. 121 (52%) of 231 patients with RA had radiographic abnormalities in the middle and lower cervical spine. There were abnormalities of the apophyseal joint in 111 cases (48%), disc narrowing in 63 3ases (28%), end-plate erosion in 37 cases (16%) and subluxation in 21 cases (9%).2. 4 (19%) of 21 cases with subaxial subluxation had myelopathy.3. 16 cases became worse radiographically including 3 cases with subaxial subluxation, in 23 cases with long term study (for average 8 years).4. Surgical treatment was performed in 2 cases with myelopathy due to subaxial subluxation, and the results were good.
西日本整形・災害外科学会の論文