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[Spinal involvement in chronic polyarthritis]

H Trost

    Schweizerische Medizinische Wochenschrift
    |June 19, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Rheumatoid arthritis commonly affects the cervical spine, with about 40% of patients showing upper cervical inflammation. Atlanto-dental dislocation is a key radiological sign, particularly in juvenile rheumatoid arthritis.

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    Area of Science:

    • Rheumatology
    • Orthopedics
    • Radiology

    Background:

    • Rheumatoid arthritis (RA) frequently impacts the entire spine.
    • The cervical spine is a common site for RA-related inflammatory changes.
    • Approximately 40% of RA patients exhibit upper cervical region inflammation.

    Purpose of the Study:

    • To describe the pathological findings of spinal involvement in rheumatoid arthritis.
    • To correlate radiological signs with clinical symptomatology in RA spinal disease.
    • To highlight atlanto-dental dislocation as an early indicator in juvenile RA.

    Main Methods:

    • Review of pathological findings in the spine of RA patients.
    • Radiological assessment, including lateral neck radiographs in maximal flexion.

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  • Correlation of imaging findings with clinical presentation.

    • Main Results:

    • Rheumatoid arthritis can affect all spinal segments.
    • Upper cervical spine inflammation is observed in about 40% of RA patients.
    • Atlanto-dental dislocation is a common early sign, especially in juvenile RA, diagnosed via specific radiography.

    Conclusions:

    • Spinal involvement, particularly in the cervical region, is a significant manifestation of rheumatoid arthritis.
    • Radiological diagnosis, such as atlanto-dental dislocation detection, is crucial for managing RA spinal complications.
    • Understanding the link between pathology, radiological signs, and symptoms aids in patient management.