Cervical Collars in Rheumatoid Atlanto-axial Subluxation: a Radiographic Comparison

Overview

Journal Ann Rheum Dis

Specialty Rheumatology

Date 1980 Oct 1

PMID 7436580

Citations 8

Authors

B Althoff

I F Goldie

Affiliations

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Abstract

Atlanto-axial subluxation occurs with a frequency varying from 6% to 45% in rheumatoid arthritis. Most patients are treated conservatively with a cervical collar. The effectiveness of different cervical collars in inhibiting anterior atlanto-axial subluxation was tested in 11 patients with classical rheumatoid arthritis. None of the collars had any major influence in inhibiting anterior subluxation of the atlas in maximal flexion. Furthermore, the harder collars with a stable cervical stand forced the atlas to subluxate anteriorly in some of the patients.

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Lesson of the week: exacerbating cervical spine injury by applying a hard collar.

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Cervical spine surgery in patients with rheumatoid arthritis: an appraisal.

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A stiff collar can restrict atlantoaxial instability in rheumatoid cervical spine in selected cases.

Kauppi M, Anttila P Ann Rheum Dis. 1995; 54(4):305-7.

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