Document Detail


Pathology of the cervical spine in rheumatoid arthritis: a controlled study of 44 spines.
MedLine Citation:
PMID:  789838     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cervical spines (with occiputs) of 44 patients with rheumatoid arthritis (RA) were compared with 44 control spines from patients without RA, matched for sex and age. There were six severe and seven slight atlanto-axial dislocations (both horizontal and vertical, two of which had been treated surgically) in the RA group and none in the control group. Ankylosis, synchondrosis, syndesmosis, bone erosions, and redness of synovial tissue in the atlanto-axial, atlanto-occipital and cervical intervertebral joints were more frequent in the RA group than in the control spines. The lesions permitting the best discrimination between the RA and control groups were used to calculate an overall score for the whole cervical spine. Sixteen of the 44 RA patients scored higher than the highest control value; only nine scored lower than the median control score. A higher score than the average value found for the RA spines was obtained by the male patients, the patients with seropositivity or subcutaneous nodules, the patients treated with corticosteroids, the patients who died in the Department of Rheumatology, and those whose death was related to the RA itself or to the treatment given.
Authors:
F Eulderink; K A Meijers
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  The Journal of pathology     Volume:  120     ISSN:  0022-3417     ISO Abbreviation:  J. Pathol.     Publication Date:  1976 Oct 
Date Detail:
Created Date:  1977-01-03     Completed Date:  1977-01-03     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0204634     Medline TA:  J Pathol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  91-108     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Ankylosis / complications
Arthritis, Rheumatoid / complications,  pathology*
Autopsy
Axis / pathology
Cervical Atlas / pathology
Cervical Vertebrae / pathology*
Clinical Trials as Topic
Dislocations / complications
Female
Foramen Magnum / pathology
Humans
Intervertebral Disk / pathology
Male
Middle Aged
Occipital Bone / pathology
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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