Rheumatoid arthritis of the neck is common but neurological complication occurs only in the minority. Nevertheless, this represents one of the few rheumatological emergencies. Surgery is the only definitive treatment, but diagnosis of this complication is often delayed so that candidates for surgery are frail and disabled, thus jeopardising the outcome. The advent of new forms of imaging, espec...

Forty-one patients with rheumatoid arthritis involving the cervical spine had a posterior cervical arthrodesis. They were followed for a minimum period of seven years. The diagnoses prior to surgery included cranial settling, atlantoaxial subluxation, subaxial subluxation, and any combination of these three. All patients had posterior arthrodesis, with or without methylmethacrylate, and iliac c...

OBJECTIVE: To determine frequency of improvement in anatomical alignment of cervical spine with skeletal traction in patients with cervical spine injury. METHODOLOGY: This retrospective observational study was conducted at neurosurgery department, Lady Reading Hospital, Peshawar. The medical record of all cases from December 2010 to November 2011, in which cervical traction was applied for cerv...

UNLABELLED SUBAXIAL CERVICAL FACET DISLOCATION INJURIES: STANDARDS There is insufficient evidence to recommend treatment standards. GUIDELINES There is insufficient evidence to recommend treatment guidelines. OPTIONS Closed or open reduction of subaxial cervical facet dislocation injuries is recommended. Treatment of subaxial cervical facet dislocation injuries with rigid external immobil...

Between 1978 and 1988 a total of 27 operations were performed on 26 patients for cervical myelopathy due to rheumatoid disease in the subaxial spine. Three different causes were recognised: the first group had cord compression due to subluxation of the cervical spine itself (6 patients); the second had cord compression occurring from in front, with rheumatoid lesions of vertebral bodies or disc...

STUDY DESIGN A retrospective single-center study. We routinely have used C1-C2 transarticular and cervical pedicle screw fixations to reconstruct highly destructed unstable rheumatoid arthritis (RA) cervical lesions. However, there is little data on mid-term results of surgical reconstruction for rheumatoid cervical disorders, particularly, cervical pedicle screw fixation. OBJECTIVES The purp...

OBJECTIVE To clarify the incidence and predictive risk factors of cervical spine instabilities which may induce compression myelopathy in patients with rheumatoid arthritis (RA). METHODS Three types of cervical spine instability were radiographically categorized into "moderate" and "severe" based on atlantoaxial subluxation (AAS: atlantodental interval >3 mm versus ≥10 mm), vertical subluxati...

Objective: Conventional cervical pedicle screw insertion necessitates extensive paraspinal muscle dissection and retraction in order to achieve the lateral medial angulation needed optimal trajectory. Minimally invasive transmuscular approach can comfortably this without significant injury midline structures its musculo-ligamentous attachments.Methods: screws were inserted 4 fresh frozen cadave...

Abstract Background The goals of cervical internal fixation are to provide immediate stability control an unstable segment and improve bony union. Early methods preferred a posterior approach consisted simple wire cancellous bone graft. Later, anterior, became recent additions surgeon’s armamentarium. Objectives Comparing between anterior in subaxial ligamentous subluxation regarding the applic...