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KMID : 0388219950020020197
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Journal of the Korean Rheumatism Association
1995 Volume.2 No. 2 p.197 ~ p.201
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A Case of Odontoid Fracture in Rheumatoid Arthritis
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김태환
김동욱/전재범/정성수/이인홍/배상철/유대현/오성훈/주경빈
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Abstract
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It's now well recognized that the cerdvical spine is commonly afffected in rheumatoid arthritis(RA)and that subluxation of the atlas is frequently present and may occasionally be fatal. It is not widely appreciated, however, that some rheumatoid
patients may develop fractures of the odontoid process in association with relatively minimal trauma or no trauma at al. This is a fracture caused by erosion and osteoporosis of the odontoid process due to rheumatoid synovitis, aging and steroid
therapy. In addition, another cause is a dynamic load produced from the instbility accompanying atlantoaxial subluxation working on the odontoid in cervical extension. We evaluated a patient with RA who had a fracture of the odontoid process.
Following
diagnosis she underwent surgery for which the prognosis was excellent.
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