title: Syringomyelia caused by loosening of multistrand cables following C1-2 Brooks-type fusion in the rheumatoid cervical spine. Case report.
abstract: The authors report a very rare case of syringomyelia caused by loosening of multistrand cable wires following C1-2 Brooks-type fusion in a 36-year-old woman with a 13-year history of rheumatoid arthritis (RA). The syrinx vanished immediately after removal of the cables, and 2 years later no recurrence of symptoms or deterioration has occurred. The authors contend that multistrand titanium cables should not be used to fix a graft-assisted C1-2 construct in patients with RA, although this material is good for fixing rods. The phenomenon observed in this case adds to our understanding of the pathogenesis of noncommunicating syringomyelia.
authors.affiliation: Department of Orthopaedic Surgery, Nagoya City University Medical School, Nagoya, Aichi, Japan. mjun@med.nagoya-cu.ac.jp
authors.forename: Jun
authors.initials: J
authors.lastname: Mizutani
authors.forename: Shunji
authors.initials: S
authors.lastname: Tsuboucim
authors.forename: Muneyoshi
authors.initials: M
authors.lastname: Fukuoka
authors.forename: Takanobu
authors.initials: T
authors.lastname: Otsuka
authors.forename: Nobuo
authors.initials: N
authors.lastname: Matsui
mesh_terms: D000328:Adult; D001172:Arthritis, Rheumatoid / Q000175:diagnosis / Q000601:surgery*; D001268:Atlanto-Axial Joint; D001864:Bone Wires / Q000009:adverse effects*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D020878:Device Removal; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology; D008279:Magnetic Resonance Imaging; D009192:Myelography; D011475:Prosthesis Failure; D012086:Reoperation; D013123:Spinal Fusion / Q000009:adverse effects*; D013595:Syringomyelia / Q000209:etiology*; D014025:Titanium; D014057:Tomography, X-Ray Computed
chemical_list: D014025:Titanium