Spontaneous fracture of the odontoid process in rheumatoid arthritis.

Abstract:

:Six cases of spontaneous fracture of the odontoid process in rheumatoid arthritis are presented. Fifty-one patients with atlantoaxial subluxation in rheumatoid arthritis underwent surgery between 1981 and 1990. This included six patients (in 10%) who had subluxation accompanied by fracture of the odontoid without apparent trauma. The mean patient age was 58 years and all had a long history of rheumatoid arthritis. No trauma was considered to be the cause of the fracture. This is a fracture caused by erosion and osteoporosis of the odontoid process due to rheumatoid synovitis, aging and steroid therapy. In addition, another cause is a dynamic load produced from the instability accompanying atlantoaxial subluxation working on the odontoid in cervical extension. It is important remember that the odontoid process is susceptible to spontaneous fracture.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Toyama Y,Hirabayashi K,Fujimura Y,Satomi K

doi

10.1097/00007632-199210001-00016

keywords:

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

S436-41

issue

10 Suppl

eissn

0362-2436

issn

1528-1159

journal_volume

17

pub_type

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