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Titolo:
3-DIMENSIONAL CT EVALUATION OF OCCIPITOATLANTOAXIAL DISLOCATION IN RHEUMATOID-ARTHRITIS
Autore:
OSTENSEN H; GUDMUNDSEN TE; HAAKONSEN M; LAGERQVIST H; KAUFMANN C; OSTENSEN M;
Indirizzi:
CENT HOSP BUSKERUD,DEPT RADIOL DRAMMEN NORWAY CENT HOSP BUSKERUD,DEPT RHEUMATOL DRAMMEN NORWAY UNIV TRONDHEIM HOSP,DEPT RHEUMATOL TRONDHEIM NORWAY
Titolo Testata:
Scandinavian journal of rheumatology
fascicolo: 5, volume: 27, anno: 1998,
pagine: 352 - 356
SICI:
0300-9742(1998)27:5<352:3CEOOD>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
CERVICAL-SPINE; RADIOGRAPHIC MEASUREMENTS; SUBLUXATION; INVOLVEMENT;
Keywords:
RHEUMATOID ARTHRITIS; ATLANTOAXIAL DISLOCATION; CONVENTIONAL X-RAY; CT 3-DIMENSIONAL RECONSTRUCTION;
Tipo documento:
Editorial Material
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
22
Recensione:
Indirizzi per estratti:
Citazione:
H. Ostensen et al., "3-DIMENSIONAL CT EVALUATION OF OCCIPITOATLANTOAXIAL DISLOCATION IN RHEUMATOID-ARTHRITIS", Scandinavian journal of rheumatology, 27(5), 1998, pp. 352-356

Abstract

Involvement of the upper cervical spine, with possible instability and dislocation of the atlanto-axial-cervico-occipital joints in patients with rheumatoid arthritis (RA), is routinely monitored with conventional radiographs. As disease progresses severe interpretation problemsoccur, especially when looking for cranial migration of the odontoid process. The aim of the present study was to evaluate whether three dimensional CT examination should be considered for such monitoring. After clinical and biochemical examination of 20 consecutive patients, diagnostic information about cranial migration of the odontoid process was obtained by conventional radiograms and by three dimensional CT examination. When using conventional radiographs the odontoid process andthe its relation to the skull base could be outlined in 8 of the 20 patients, whereas all bony structures could be well demonstrated on theCT examination and the degree of cranial migration into the foremen magnum could be quantified. Three dimensional CT should be considered as a reliable examination for monitoring RA patients with involvement of the upper cervical spine and a possible cranial migration of the odontoid process.

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Documento generato il 09/07/20 alle ore 01:18:57