caa a22 4500 46573412X CHVBK 20180323111750.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF00431364 doi (NATIONALLICENCE)springer-10.1007/BF00431364 Posterior occipito-cervical fusion in rheumatoid arthritis [Elektronische Daten] [D. Grob, J. Dvorak, N. Gschwend, M. Froehlich] Summary: The instability of atlanto-axial subluxation remains a challenging problem in patients with rheumatoid arthritis. In order to preserve as much function of the cervical spine as possible, inclusion of the occiput into the fusion should exclusively be performed when there is a radiologically or clinically manifest pathological condition of the atlanto-occipital joint or marked upward migration of the dens axis. In order to prevent irreversible damage to the spinal cord, an early indication of surgical stabilization is recommended. This article presents a retrospective analysis of the clinical and radiological results of occipito-cervical fusion in 26 patients with rheumatoid arthritis using a modified Brattström technique. The complications encountered were mainly due to the use of wire fixation, reinforcement using bone cement and insufficient reduction of atlanto-axial subluxation. Springer-Verlag, 1990 Grob D. Department of Orthopaedic Surgery, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut Dvorak J. Department of Neurology, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut Gschwend N. Department of Orthopaedic Surgery, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut Froehlich M. Department of Orthopaedic Surgery, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 110/1(1990-12-01), 38-44 0936-8051 110:1<38 1990 110 402 https://doi.org/10.1007/BF00431364 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00431364 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Grob D. Department of Orthopaedic Surgery, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut NATIONALLICENCE 700 1- Dvorak J. Department of Neurology, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut NATIONALLICENCE 700 1- Gschwend N. Department of Orthopaedic Surgery, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut NATIONALLICENCE 700 1- Froehlich M. Department of Orthopaedic Surgery, Spine Unit, Wilhelm Schulthess Hospital, CH-8032, Zürich, Switzerland aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 110/1(1990-12-01), 38-44 0936-8051 110:1<38 1990 110 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer