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Technical Outcome of Atlantoaxial Trans-articular Screw Fixation without Supplementary Posterior Construct in Rheumatoid Arthritis

Author

Listed:
  • Philip M Thomas

    (Acute Services, Department of Neurosurgery, Belfast Health & Social Care Trust, Royal Hospitals, United Kingdom)

  • Jack Horan
  • Michael Amoo
  • Mohammed Ben Husien
  • Derek Cawley
  • Jabir Nagaria
  • Ciaran Bolger

    (National Centre for Neurosurgery, Beaumont Hospital, Dublin 9, Republic of Ireland.)

Abstract

The atlantoaxial (AA) segment is the most mobile region of the spinal column. Approximately 50% of the cervical spine’s rotary movement, and as much as 50 degrees of its rotation, occurs at the C1-C2 joint [1,2]. Instability of this joint can result from various processes, including aplasia or hypoplasia of the odontoid process, laxity of the transverse ligament and assimilation of the atlas. AA instability is associated with various conditions including Down’s syndrome, Klippel-Feil syndrome, osteogenesis imperfecta, neurofibromatosis and rheumatoid arthritis (RA) [3-6].

Suggested Citation

  • Philip M Thomas & Jack Horan & Michael Amoo & Mohammed Ben Husien & Derek Cawley & Jabir Nagaria & Ciaran Bolger, 2020. "Technical Outcome of Atlantoaxial Trans-articular Screw Fixation without Supplementary Posterior Construct in Rheumatoid Arthritis," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 16(2), pages 38-43, May.
    • Handle: RePEc:adp:joroaj:v:16:y:2020:i:2:p:38-43
    DOI: 10.19080/OROAJ.2020.16.555934
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