Seignon B, Tellart-Chaudeur M O, Gougeon J
Sem Hop. 1975 Apr 8;51(17):1157-66.
Lesions of the middle and lower part of the cervical spine during rheumatoid arthritis are less frequent than those of the cervico-occipital joint. They concern the discs on the one hand, the posterior inter-apophyseal joints, on the other hand. The authors report a case of rheumatic spondylodiscitis of C5-C6 with dislocation, complicated by quadriplegia, and review other published cases of rheumatoid lesions of the middle and lower cervical spine with neurological complications. The mechanisms of these lesions and their complications are then discussed.
类风湿性关节炎期间颈椎中下部的病变比颈枕关节的病变少见。这些病变一方面涉及椎间盘,另一方面涉及后椎间关节。作者报告了一例C5 - C6风湿性脊椎盘炎伴脱位并并发四肢瘫痪的病例,并回顾了其他已发表的伴有神经并发症的颈椎中下部类风湿性病变病例。然后讨论了这些病变及其并发症的机制。