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Minimally invasive atlanto-odontoid joint injection for involvement in rheumatoid arthritis. A case report and
V J Kostanian1, M S Mathews, F D Westhout
1Department of Radiology, University of California-Irvine - mmathews@uci.edu.
Summary:
This report shows that CT fluoroscopy guided anterior approach injections can be effectively utilized for inflammatory conditions affecting the atlanto-odontoid joint, and that steroid injections thus injected can provide pain relief lasting six months in properly selected patients. Patients with underlying rheumatoid arthritis demonstrating significant aggravation of neck pain with side to side (rotational) neck movements and refractory to medical therapy may be good candidates for the procedure.
