Abstract:
OBJECTIVES:The purpose of this study was to clarify the characteristics of bony ankylosis of the facet joint of the cervical spine in rheumatoid arthritis (RA) patients who required cervical spine surgery, and its relationship to the clinical findings. METHODS:Eighty consecutive RA patients with cervical spine disorder who received initial surgery were reviewed. The occurrence of bony ankylosis of the facet joint of the cervical spine was investigated using computed tomography (CT) before surgery. We also evaluated the severity of neurological symptoms and the plain wrist radiographs taken before surgery; furthermore, we evaluated each patient's medical history for total knee arthroplasty (TKA) or hip arthroplasty (THA). RESULTS:The preoperative CT imaging demonstrated bony ankylosis of the facet joint of the cervical spine in 45 facet levels of 19 cases (BA + group). In all patients, responsible instability or stenosis was demonstrated just caudal or on the cranial side of those bony ankylosis. Before surgery, the BA + group included significantly more patients showing severe cervical myelopathy (p < 0.05), and significantly more cases showing progressed ankylosis in the wrist joint bilaterally (p < 0.01). There were also significantly more patients who received two or more TKA or THA before the cervical spine surgery in the BA + group (p < 0.01). CONCLUSIONS:Bony ankylosis of the facet joint of the cervical spine may be a risk factor of instability or stenosis at the adjacent disc level and severe cervical myelopathy. Furthermore, its ankylosis was demonstrated in RA patients with severe destroyed joints.
journal_name
Mod Rheumatoljournal_title
Modern rheumatologyauthors
Iizuka H,Iizuka Y,Okamura K,Yonemoto Y,Mieda T,Takagishi Kdoi
10.1080/14397595.2016.1265638subject
Has Abstractpub_date
2017-09-01 00:00:00pages
801-805issue
5eissn
1439-7595issn
1439-7609journal_volume
27pub_type
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journal_title:Modern rheumatology
pub_type: 杂志文章
doi:10.1007/s10165-009-0237-2
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journal_title:Modern rheumatology
pub_type: 临床试验,杂志文章
doi:10.1007/s10165-006-0487-1
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journal_title:Modern rheumatology
pub_type: 杂志文章
doi:10.1007/s10165-012-0711-0
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pub_type: 杂志文章
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journal_title:Modern rheumatology
pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章,随机对照试验
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更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章
doi:10.3109/14397595.2013.854048
更新日期:2014-01-01 00:00:00
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journal_title:Modern rheumatology
pub_type: 杂志文章
doi:10.1007/s10165-010-0367-6
更新日期:2011-04-01 00:00:00
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journal_title:Modern rheumatology
pub_type: 杂志文章
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更新日期:2013-04-27 00:00:00
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更新日期:2014-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-11-01 00:00:00
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pub_type: 杂志文章
doi:10.3109/s10165-002-0220-7
更新日期:2003-06-01 00:00:00
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journal_title:Modern rheumatology
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doi:10.3109/s101650070035
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pub_type: 杂志文章
doi:10.3109/14397595.2015.1012786
更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1080/14397595.2016.1218596
更新日期:2019-03-01 00:00:00
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更新日期:2019-05-01 00:00:00
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更新日期:2021-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s10165-010-0274-x
更新日期:2010-06-01 00:00:00
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pub_type: 杂志文章,评审
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