Rajangam K, Thomas I M
St John's Medical College, Bangalore.
J Indian Med Assoc. 1995 Apr;93(4):138-9, 137.
The cervical spine x-rays of a random number of patients with confirmed rheumatoid arthritis were taken. The presence of atlanto-axial subluxation, atlanto-axial impaction, subaxial subluxation and any other associated abnormalities was noted. The spinal canal diameter was also measured which was not significantly altered in rheumatoid arthritis cases. Cervical spine disorders were seen to occur in 16 cases (69.6%) out of 23 patients. Spondylosis was the most frequent disorder ie, in 10 cases (62.5%) out of 16. Obliteration of the normal lordotic curve and disc lesions occurred in 3 cases (18.7%) each out of 16. The mean spinal canal diameter was 16.30 +/- 2 mm with a range of 13-23 mm. Female patients (73.3%) had an increased cervical spine disorder than males (62.5%). Seropositive rheumatoid arthritis cases (87.5%) were mostly involved in occurrence of disorder than those of seronegative arthritis cases (46%).
对随机抽取的确诊类风湿性关节炎患者进行了颈椎X光检查。记录了寰枢椎半脱位、寰枢椎撞击、下颈椎半脱位及其他相关异常情况的存在。还测量了椎管直径，结果显示类风湿性关节炎患者的椎管直径无显著变化。23例患者中有16例（69.6%）出现颈椎疾病。脊柱关节病是最常见的疾病，即16例中有10例（62.5%）。16例中分别有3例（18.7%）出现正常前凸曲线消失和椎间盘病变。平均椎管直径为16.30 +/- 2毫米，范围为13 - 23毫米。女性患者（73.3%）的颈椎疾病发生率高于男性（62.5%）。血清阳性类风湿性关节炎病例（87.5%）比血清阴性关节炎病例（46%）更易出现疾病。
