类风湿性下颈椎半脱位的成功保守治疗，使脊髓病得到改善，半脱位减轻，颈椎得以稳定。两例报告。
Successful conservative treatment of rheumatoid subaxial subluxation resulting in improvement of myelopathy, reduction of subluxation, and stabilisation of the cervical spine. A report of two cases.
作者信息
Oostveen J C, van de Laar M A, Geelen J A, de Graaff R
机构信息
Department of Rheumatology, Medisch Spectrum Twente, Enschede, The Netherlands.
出版信息
Ann Rheum Dis. 1999 Feb;58(2):126-9. doi: 10.1136/ard.58.2.126.
OBJECTIVE
To report the efficacy of conservative treatment with cervical traction and immobilisation with a Halo vest, in two consecutive rheumatoid arthritis patients with progressive cervical myelopathy caused by subaxial subluxation.
METHODS
Description of neurological symptoms and signs and findings in plain radiography (PR) and magnetic resonance imaging (MRI) of the cervical spine before and after treatment of the subaxial subluxation by traction and immobilisation with a Halo vest during four months.
RESULTS
During four months of traction and immobilisation neurological examination showed a considerable improvement of the signs and symptoms of cervical myelopathy. Afterwards PR and MRI of the cervical spine showed reduction of the subaxial subluxation. Eventually firm stabilisation was obtained in both patients without surgery of the cervical spine.
CONCLUSION
Cervical traction and immobilisation with a Halo vest can be considered as an independent conservative treatment in rheumatoid arthritis patients with cervical myelopathy caused by subaxial subluxation.
目的
报告连续两名因下颈椎半脱位导致进行性颈髓病的类风湿关节炎患者采用颈椎牵引和 Halo 背心固定的保守治疗效果。
方法
描述在通过 Halo 背心牵引和固定治疗下颈椎半脱位的四个月期间，治疗前后神经系统症状和体征以及颈椎平片（PR）和磁共振成像（MRI）的检查结果。
结果
在四个月的牵引和固定期间，神经学检查显示颈髓病的体征和症状有显著改善。之后颈椎的 PR 和 MRI 显示下颈椎半脱位减轻。最终两名患者均未进行颈椎手术就实现了牢固的稳定。
结论
对于因下颈椎半脱位导致颈髓病的类风湿关节炎患者，颈椎牵引和 Halo 背心固定可被视为一种独立的保守治疗方法。
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