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C1-2 Stenosis Caused by Posterior Osteophytes: An Unusual Cause of Cord Compression.
World Neurosurg
December 2024
Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Cervical spinal stenosis most commonly occurs at the subaxial spine. C1-C2 stenosis is relatively unusual but can be present in certain congenital or syndromic conditions such as rheumatoid arthritis. In this manuscript, we highlight the case of a 42-year-old lady who presented with neck pain and signs of high cervical myelopathy.
View Article and Find Full Text PDFPrevalence and aggravation of cervical spine instabilities in rheumatoid arthritis during over 10 years: a prospective multicenter cohort study.
Sci Rep
November 2024
Department of Orthopaedic Surgery, Kobe Rosai Hospital, 4-1-23 Kagoike-dori, Chuo-ku, Kobe, 651-0053, Japan.
Article Synopsis
- A multicenter cohort study was conducted to investigate the long-term prevalence and worsening of cervical spine instabilities in patients with rheumatoid arthritis (RA), involving 634 outpatients, with 233 followed for over 10 years.
- Cervical spine instability was assessed through specific measurements, with findings indicating that both vertical and subaxial subluxation increased significantly over time.
- Key predictors for worsening conditions included advanced joint damage, prolonged duration of RA, elevated C-reactive protein levels, and past joint surgery, highlighting the importance of managing disease activity to prevent further complications.
Atlantoaxial arthritis is more common in polyarticular JIA as compared to systemic onset JIA-Retrospective study.
Int J Rheum Dis
November 2024
Department of Pediatrics and Developmental Biology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Recent Global Trends and Hotspots in Occipitocervical Fusion: A Bibliometric Analysis and Visualization Study.
World Neurosurg
October 2024
Seattle Science Foundation, Seattle, Washington, USA; Swedish Neuroscience Institute, Seattle, Washington, USA.
Article Synopsis
- Occipitocervical arthrodesis is a surgical procedure used to treat serious neck issues that regular cervical fusion can't fix, and its significance has changed over time due to new techniques and technologies.
- A bibliometric analysis of literature on occipitocervical fusion was conducted, revealing trends in publications, citations, and topics of interest, highlighting the increase in studies related to Ehlers Danlos syndrome and ongoing concerns regarding dysphagia.
- Key findings indicated that the number of relevant publications peaked in 2020 but has since declined, with the USA, China, and Japan being the leading contributors to the research in this field.
Atlantoaxial Instability in the Course of Rheumatoid Arthritis in Relation to Selected Parameters of Sagittal Balance.
J Clin Med
July 2024
Department of Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation in Warsaw, 1 Spartanska Street, 02-637 Warsaw, Poland.
Atlantoaxial instability is the most common cervical instability in patients with rheumatoid arthritis (RA). Its course may differ in different patients and may have different degrees of severity and symptoms. There are a number of studies on systemic factors associated with the development of this instability, but there are few publications in the scientific literature on the influence of biomechanical factors on the development of cervical instability.
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