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- Title
Investigating the prevalence of cervical spine instability in patients with rheumatoid arthritis.
- Authors
Rezakhah, Amir; Kobets, Andrew J.; Emami Sigaroudi, Faezeh; Habibi, Mohammad Amin; Derakhshesh, Rahim; Javanshir Rezaei, Naghmeh; Naseri Alavi, Seyed Ahmad
- Abstract
Introduction: Rheumatoid arthritis (RA) is a chronic, progressive, and systemic disease that broadly affects connective tissues, especially synovial joints. The aim of this study was to investigate the prevalence of cervical spine instability in patients diagnosed with RA. Material and methods: Fifty patients with rheumatoid arthritis referred to Imam Khomeini Hospital in Urmia were selected by the census. After taking a history, the neck X-ray was taken from the lateral view in static, flexion, and extension. Results: Among 50 patients, 11 were male (22%) and 39 were female (78%). The average disease duration period was 5.63 ± 5.21 years. 43 patients (86%) had normal AADI, 5 patients (10%) had abnormal dynamic AADI, and 2 patients (4%) had abnormal AADI static. Basilar invagination instability was not found in the studied patients. There was no significant difference in terms of gender between normal and abnormal cases of AADI. Among normal AADI cases, 40 cases (93%) were taking drugs and among abnormal AADI cases, 4 cases (57.1%) were taking drugs and 3 patients (42.9%) were not receiving drug treatment. There is a significant difference between normal and abnormal cases of AADI in terms of drug use. Conclusions: In our study, 7 cases of abnormal AADI were found among 50 patients, of which 2 had abnormal static AADI, which indicates the worsening of cervical spine instability. The study also found that those not treated with DMARDS were more likely to have cervical spine instability.
- Subjects
CERVICAL vertebrae; SPINAL instability; RHEUMATOID arthritis; JOINTS (Anatomy); BASILAR invagination; DISEASE duration
- Publication
Egyptian Journal of Neurosurgery, 2023, Vol 38, Issue 1, p1
- ISSN
2520-8225
- Publication type
Article
- DOI
10.1186/s41984-023-00241-w