Inestabilidad de la columna cervical superior debida al reumatismo. (Alemán)

Heyde CE, Weber U, Kayser R.

Klinik fur Unfall- und Wiederherstellungschirurgie, Charite, Campus Benjamin Franklin, Universitatsmedizin, Berlin.

Rheumatic manifestation at the cervical spine occurs in more than 50% of all cases in the natural course of this disease. The first cervical manifestation takes place in the upper cervical spine. The initial involvement of the C1/C2 segment leads to atlantodental subluxation. Progressive destruction can result in vertical instability, which is characterized by cranial subluxation of the odontoid process with the danger of resulting stenosis and cervical myelopathy.The goal of diagnosis has to be the early recognition of these changes to establish an effective treatment protocol. Persistent pain, neurological deficits, and progressive radiological signs for instability are indications for operative stabilizing procedures. These procedures avoid progressive destruction and improve the prognosis regarding pain decrease, regression of neurological deficits, and life expectancy.

Orthopade. 2006 Jan 24.

Check Also

Comparable increases in dural sac area after three different posterior decompression techniques for lumbar spinal stenosis: radiological results from a randomized controlled trial in the NORDSTEN study

Última actualización 15/09/20 Original ArticleOpen AccessPublished: 18 June 2020 Comparable increases in dural sac area after …