Trost H
Schweiz Med Wochenschr. 1982 Jun 19;112(25):878-83.
Rheumatoid arthritis (RA) may involve every segment of the entire spine. In particular, the cervical spine is commonly affected in rheumatoid arthritis. In approximately 40% of RA patients inflammatory changes are observed in the upper inflammatory changes are observed in the upper cervical region. Atlanto-dental dislocation, a common early sign especially in juvenile RA, is radiologically diagnosed by a lateral radiograph of the neck in maximal flexion. The pathological findings in the spine and the corresponding radiological signs and clinical symptomatology are described.
类风湿关节炎(RA)可能累及整个脊柱的各个节段。特别是颈椎在类风湿关节炎中常受影响。在大约40%的RA患者中,可在上颈椎区域观察到炎症改变。寰枢椎脱位是一种常见的早期体征,尤其在青少年RA中,通过颈部最大屈曲位的侧位X线片进行放射学诊断。本文描述了脊柱的病理表现以及相应的放射学征象和临床症状。