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UPWARD TRANSLOCATION OF THE DENS IN RHEUMATOID ARTHRITIS

N. A. Rana 1; D. O. Hancock 2; A. R. Taylor 2; ; and A. G. S. Hill 2

1 Stoke Mandeville Hospital, Aylesbury; Chicago, United States of America
2 Stoke Mandeville Hospital, Aylesbury; Buckinghamshire, England

1. A diagnosis of upward translocation of the dens was made in eight patients with chronic rheumatoid arthritis selected from a group of patients who had radiographic studies of the cervical spine and from whom a number of patients with atlanto-axial subluxation were also identified.

2. Two of the patients presented with an acute neurological syndrome of serious import and required a stabilisation operation. Though this is an uncommon complication of rheumatoid arthritis it seems that urgent neurological syndromes are likely to be more common than in atlanto-axial subluxation.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General