| Management of recalcitrant osteoarthritis of the atlanto-axial joint. | |
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MedLine Citation:
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PMID: 16866096 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The medical records and radiographs of 17 patients with recalcitrant pain secondary to C1-C2 osteoarthritis were independently reviewed. All patients were treated by the senior author (K.D.R.). Initial treatment included physical therapy, nonsteroidal anti-inflammatory drugs, and soft collar immobilization. If non-responsive, patients were referred to a single radiologist for injection of the involved C1-C2 joint(s). If symptoms persisted, then transarticular screw fixation and Magerl wire fixation with structural iliac crest bone graft was performed. Postoperatively, all patients were placed in a soft collar. Postoperative anteroposterior (AP), lateral, flexion/extension, and open-mouthed odontoid radiographs were taken at 6 weeks, 3 months, and 1 year. Three independent observers assessed all radiographs for fusion. Fusion was noted by radiographic evidence of bridging bony trabeculae across the C1-C2 joint and/or bridging bone from the posterior arch of C1 to the C2 spinous process. Patient satisfaction improved significantly whether they were treated by corticosteroid injection or surgically. |
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Authors:
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Timothy R Kuklo; K Daniel Riew; Joseph R Orchowski; Douglas S Won; Teresa M Schroeder; Louis A Gilula |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Orthopedics Volume: 29 ISSN: 0147-7447 ISO Abbreviation: Orthopedics Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-07-26 Completed Date: 2006-11-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806107 Medline TA: Orthopedics Country: United States |
Other Details:
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Languages: eng Pagination: 633-8 Citation Subset: IM |
Affiliation:
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Walter Reed Army Medical Center, Dept of Orthopedic Surgery and Rehabilitation, 6900 Georgia Ave, NW Washington, DC 20307-5001, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adrenal Cortex Hormones
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therapeutic use* Aged Aged, 80 and over Atlanto-Axial Joint / drug effects, surgery* Female Humans Male Neck Pain / drug therapy, etiology, surgery* Osteoarthritis / complications, drug therapy, surgery* Patient Satisfaction Retrospective Studies Spinal Fusion / methods* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Adrenal Cortex Hormones |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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