Brooks fusion for atlantoaxial instability in rheumatoid arthritis
| Autor: | McCarron Rf, Robertson Ww |
|---|---|
| Rok vydání: | 1988 |
| Předmět: |
Adult
Joint Instability medicine.medical_specialty Arthrodesis medicine.medical_treatment Cervical orthosis Asymptomatic Arthritis Rheumatoid medicine Humans Major complication Subluxation Postoperative Care business.industry General Medicine medicine.disease Surgery Orthopedic Fixation Devices Atlanto-Axial Joint Atlantoaxial instability Rheumatoid arthritis Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Southern medical journal. 81(4) |
| ISSN: | 0038-4348 |
| Popis: | Atlantoaxial instability in rheumatoid arthritis has been recognized in the natural history of rheumatoid arthritis, but successful surgical stabilization has proven to be elusive. We review our experience using the Brooks technique of wedge compression arthrodesis combined with halo immobilization in five women with rheumatoid arthritis with symptomatic C1-2 subluxation. Halo-vest immobilization was continued for six weeks postoperatively, and then exchanged for a rigid cervical orthosis for an additional six weeks. Solid, asymptomatic fusion developed in all patients within this 12-week period. Follow-up ranges from 18 to 56 months. One major complication occurred in a patient who had significant postoperative quadriparesis in spite of normal intraoperative sensory evoked potentials; it has since slowly resolved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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