[Atloaxoid dislocation with basilar pressure and spinal cord symptoms in rheumatoid arthritis. A case of occipitocervical arthrodesis followed by resection of the odontoid].
The authors report a case of atlanto-axial dislocation in a patient with rheumatoid arthritis. There was some neurological impairment with upper limb pain and hyperreflexia. As a first stage, a cranio-cervical fusion was performed through a posterior approach. Three weeks later the axis was excised through an antero-lateral approach, together with its odontoid process. The patient's condition was much improved and the neurological lesions disappeared.
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D001174:Arthrodesis / Q000379:methods; D001268:Atlanto-Axial Joint / Q000601:surgery*; D001368:Axis, Cervical Vertebra / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology* / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology
Luxation atloïdo-axoïdienne avec impression basilaire et signes médullaires au cours d'un rhumatisme inflammatoire chronique. 1 cas d'arthodèse occipito-cervicale suivie de résection de l'odontoïde.