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PubMed1981

[Sports injuries of the cervical spine (author's transl)].

The article reports on injuries of the cervical spine occurring during sports activities. An attempt is made to reconstruct the movements which led to the cervical spine injuries in question. In two cases of accidents occurring during bathing, one football accident and a toboggan accident, the injuries concerned point to hyperextension of the cervical spine as cause of the injury. In another football accident and a riding accident, the changes observed allow us to conclude that the movement leading to the injury must have been a hyperflexion. One accident occurring while jumping on the trampoline resulted in an injury of the upper cervical spine pointing to the action of a compressive force on the cervical spine in addition to the force resulting in hyperflexion.

Adult↗
PubMedDate not supplied

[Atlanto-dentoid dislocation in chronic polyarthritis. Correlation of clinical, roentgenological, neurological and electromyographical findings].

The involvement of the cervical spine in rheumatoid arthritis especially after prolonged steroid medication, is one of the most dangerous symptoms of this disease. 62 patients suffering from rheumatoid arthritis of the cervical spine underwent a critical examination regarding clinical signs and neurological symptoms. According to Larsen Theses of the radiological grading of the severity of rheumatoid arthritis, we tried to develop a classification of the involvement of the upper and the low cervical spine. Clinical and neurological signs are then found especially in stadium III and IV. The bony ankylosis (stadium V) must be considered as a spontaneous healing, for all clinical and neurological signs will have vanished. Electromyographical observations showed characteristic patterns for each stadium. According to this classification the conservative and the operative treatment can be chosen.

Adult↗
PubMedDate not supplied

Longterm follow-up of posterior cervical fusion for atlanto-axial subluxation in rheumatoid arthritis.

Surgical fusion of the upper cervical spine was used to treat atlanto-axial subluxation in 7 patients with rheumatoid arthritis. Postsurgical follow-up was 3 to 16 yr. Despite progressive and often severe radiological changes in the cervical spine, no patient has had a clinical recurrence of neck symptoms requiring further surgery. These results suggest that surgical fusion is successful in the longterm, despite the often dramatic radiological changes which occur in the cervical spine with the passage of time.

Adult↗