Schroeder M, Rüther W, Schaefer C
Klinik für Wirbelsäulenchirurgie, Orthopädische Universitätsklinik am Klinikum Bad Bramstedt, Oskar-Alexander-Str. 26, 24576, Bad Bramstedt, Deutschland.
Klinik und Poliklinik für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
Z Rheumatol. 2017 Dec;76(10):838-847. doi: 10.1007/s00393-017-0388-z.
The cervical spine is one of the main sites of manifestation in rheumatoid arthritis outside of the extremities. It can have a decisive influence on disease course via the occurrence of mechanical instabilities as well as neurologic symptoms. Both adequate diagnosis and the corresponding surgical treatment represent a challenge for the involved physicians.
This review presents relevant diagnostic strategies and possibilities for surgical intervention which aim to avoid potentially fatal neurologic symptoms. Basic literature and expert opinions are also discussed.
Through target-oriented surgical management, as well as tight clinical and radiologic monitoring during conservative and surgical therapy, potentially fatal disease courses can be avoided.
颈椎是类风湿关节炎在四肢以外主要的表现部位之一。它可通过机械性不稳定以及神经症状的出现对疾病进程产生决定性影响。充分的诊断和相应的外科治疗对相关医生而言都是一项挑战。
本综述介绍了旨在避免潜在致命性神经症状的相关诊断策略和手术干预可能性。还讨论了基础文献和专家意见。
通过针对性的手术管理，以及在保守治疗和手术治疗期间进行严格的临床和影像学监测，可以避免潜在的致命疾病进程。
