title: [Indications and results of fusion operations of the upper cervical spine in chronic polyarthritis and psoriatic arthritis].
abstract: 12 patients suffering from rheumatic or psoriatic instabilities of the upper cervical spine underwent operations by a dorsal approach from September '83 until October '86. They were examined 3 months to 3 years after operation. Different operative procedures were chosen depending upon the extent of the instabilities. Differential indications are discussed on the basis of clinical and x-ray features. Results were good in 10 patients, 1 was satisfactory, 1 patient died one week postoperatively. Rheumatoid and psoriatic instabilities of the upper cervical spine should receive early operative treatment while extent and risks of operative procedures are low.
authors.affiliation: Orthopädische Klinik im Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
authors.forename: J H
authors.initials: JH
authors.lastname: Kühne
authors.forename: H
authors.initials: H
authors.lastname: Stürz
authors.forename: H J
authors.initials: HJ
authors.lastname: Refior
mesh_terms: D001168:Arthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000601:surgery*; D001268:Atlanto-Axial Joint / Q000601:surgery; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009809:Odontoid Process / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011565:Psoriasis / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013123:Spinal Fusion
vernacular_title: Indikationen und Ergebnisse der Fusionsoperationen der oberen HWS bei chronischer Polyarthritis und Psoriasis-Arthritis.