| Autor: |
Crockard HA, Pozo JL, Ransford AO, Stevens JM, Kendall BE, Essigman WK |
| Jazyk: |
angličtina |
| Zdroj: |
The Journal of bone and joint surgery. British volume [J Bone Joint Surg Br] 1986 May; Vol. 68 (3), pp. 350-6. |
| DOI: |
10.1302/0301-620X.68B3.3733795 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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