Cervical Myelopathy in Rheumatoid Arthritis

Involvement of the cervical spine is common in rheumatoid arthritis. Clinical presentation can be variable, and symptoms may be due to neck pain or compressive myeloradiculopathy. We discuss the pathology, grading systems, clinical presentation, indications for surgery and surgical management of cer...

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Main Authors: N. Mukerji, N. V. Todd
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Neurology Research International
Online Access:http://dx.doi.org/10.1155/2011/153628
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author N. Mukerji
N. V. Todd
author_facet N. Mukerji
N. V. Todd
author_sort N. Mukerji
collection DOAJ
description Involvement of the cervical spine is common in rheumatoid arthritis. Clinical presentation can be variable, and symptoms may be due to neck pain or compressive myeloradiculopathy. We discuss the pathology, grading systems, clinical presentation, indications for surgery and surgical management of cervical myelopathy related to rheumatoid arthritis in this paper. We describe our surgical technique and results. We recommend early consultation for surgical management when involvement of the cervical spine is suspected in rheumatoid arthritis. Even patients with advanced cervical myelopathy should be discussed for surgical treatment, since in our experience improvement in function after surgery is common.
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series Neurology Research International
spelling doaj-art-dc792aa55203403884266727c4c756922025-02-03T01:33:05ZengWileyNeurology Research International2090-18522090-18602011-01-01201110.1155/2011/153628153628Cervical Myelopathy in Rheumatoid ArthritisN. Mukerji0N. V. Todd1Department of Neurosurgery, Regional Neurosciences Center, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UKDepartment of Neurosurgery, Regional Neurosciences Center, Royal Victoria Infirmary, Queen Victoria Road, Newcastle upon Tyne, NE1 4LP, UKInvolvement of the cervical spine is common in rheumatoid arthritis. Clinical presentation can be variable, and symptoms may be due to neck pain or compressive myeloradiculopathy. We discuss the pathology, grading systems, clinical presentation, indications for surgery and surgical management of cervical myelopathy related to rheumatoid arthritis in this paper. We describe our surgical technique and results. We recommend early consultation for surgical management when involvement of the cervical spine is suspected in rheumatoid arthritis. Even patients with advanced cervical myelopathy should be discussed for surgical treatment, since in our experience improvement in function after surgery is common.http://dx.doi.org/10.1155/2011/153628
spellingShingle N. Mukerji
N. V. Todd
Cervical Myelopathy in Rheumatoid Arthritis
Neurology Research International
title Cervical Myelopathy in Rheumatoid Arthritis
title_full Cervical Myelopathy in Rheumatoid Arthritis
title_fullStr Cervical Myelopathy in Rheumatoid Arthritis
title_full_unstemmed Cervical Myelopathy in Rheumatoid Arthritis
title_short Cervical Myelopathy in Rheumatoid Arthritis
title_sort cervical myelopathy in rheumatoid arthritis
url http://dx.doi.org/10.1155/2011/153628
work_keys_str_mv AT nmukerji cervicalmyelopathyinrheumatoidarthritis
AT nvtodd cervicalmyelopathyinrheumatoidarthritis