Description

Bouchaud-Chabot and Liote summarized indications for performing surgery on a patient with rheumatoid arthritis involving the cervical spine. The authors are from Hopital Lariboisiere in Paris


 

Indications in a symptomatic patient - at least one of the following:

(1) spinal cord compression, especially when there is progressive neurological compromise

(2) severe intractable pain unresponsive to standard analgesics

 

Probable indications to prevent neurological complications:

(1) patient with cervical spine involvement who requires multiple episodes of general anesthesia with endotracheal intubation

(2) cranial settling

(3) major radiological dislocation (with displacement of >= 9 mm)

 


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