The medical outcomes of atlanto-axial arthrodesis in sufferers with rheumatoid arthritis – Evaluation in accordance with the Japanese Orthopaedic Affiliation Cervical Myelopathy Analysis Questionnaire (JOACMEQ).
J Orthop Sci. 2017 Could;22(three):401-404
Authors: Iizuka H, Iizuka Y, Mieda T, Tsunoda D, Kobayashi R, Sorimachi Y
PURPOSE: The aim of this examine was to judge the medical outcomes of atlanto-axial arthrodesis in rheumatoid arthritis (RA) sufferers with cervical myelopathy utilizing the Japanese Orthopaedic Affiliation Cervical Myelopathy Analysis Questionnaire (JOACMEQ).
METHODS: Twenty sufferers who underwent surgical procedure to deal with atlanto-axial subluxation (AAS) have been reviewed.
RESULTS: The charges of success charges for every area have been as follows: cervical backbone operate, 11 of 18 sufferers (61.1%); higher extremity operate, three of 15 sufferers (20%); decrease extremity operate, eight of 18 sufferers (44.four%); bladder operate, 5 of 13 sufferers (38.5%); and high quality of life, three of 20 sufferers (15%). Important variations of success charge have been discovered between the next domains: cervical backbone operate and higher extremity operate, cervical backbone operate and the standard of life, and lower-extremity operate and high quality of life. There have been vital variations within the pre- and post-surgery visible analogue scale (VAS) scores for ache or stiffness within the neck or shoulders, and ache or numbness within the arms and fingers.
CONCLUSION: Atlanto-axial arthrodesis in RA sufferers offered a greater end result for cervical backbone operate, with enchancment in VAS scores for ache or stiffness within the neck or shoulders. This surgical procedure offered enchancment of ache or numbness of the higher extremities however not of upper-extremity operate. In distinction, the surgical procedure achieved a comparatively good restoration in lower-extremity operate however little enchancment of ache or numbness of the decrease extremities. The success charge with regard to high quality of life was discovered to be considerably decrease than the success charges noticed for cervical backbone operate and lower-extremity operate.
PMID: 28215392 [PubMed – indexed for MEDLINE]