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Arthritis und Rheuma 2005; 25(04): 178-184
DOI: 10.1055/s-0037-1618504
Die rheumatische Wirbelsäule
Schattauer GmbH

Die operative Versorgung rheumatoider Destruktionen an der Halswirbelsäule

Cervical spine surgery of rheumatoid destructions
Rafael Donatus Sambale
1   Orthopädische Klinik Hess. Lichtenau. Bereich Wirbelsäulenchirurgie mit Querschnittzentrum
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Publication History

Publication Date:
23 December 2017 (online)

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Zusammenfassung

Die Häufigkeit rheumatischer Veränderungen an der Halswirbelsäule ist abhängig vom Schweregrad der Grunderkrankung und führt in einer Vielzahl der Fälle zu Instabilitäten, Deformitäten, therapierefraktärem Schmerz und neurologischen Ausfällen. Durch die frühzeitige Diagnose-stellung und die kontinuierliche Kontrolle der asymptomatischen Veränderungen können schwerwiegende Veränderungen für den Patienten durch eine adäquate operative Therapie verhindert werden. Eine differenzierte Indikationsstellung ist notwendig um ein Overtreatment zu vermei-den. Die Verfahrenswahl wird durch die Pathomorphologie bestimmt und führt bei angemessenem prä-und postoperativem Management zu guten Ergebnissen.

Summary

Rheumatoid arthritis often involves the cervical spine and depending from the severity of the arthritis, it leads often to instability, deformity, intractable pain and neurological deficit. Early identification of the lesion and a closely monitoring of asymptomatic changes may protect the patient against a poor outcome by an early differentiated operative treatment. The proper selection of the patients will protect them against overtreatment. The surgical technic depends from the pathomorphological changes and leads by an adequate pre- and postoperative management to good results.

Schlüsselwörter

Rheumatoide Arthritis - Halswirbelsäule - Instabilität - operative Therapie - neurologische Ausfälle

Keywords

Rheumatoid arthritis - cervical spine - instability - operative treatment - neurological deficit
 

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