Rheumatoid cervical luxations with fatal neurological complications

Vogelsang, H; Zeidler, Henning; Wittenborg, A; Weidner, A.

doi:10.1007/bf00399814

Cited by 12 publications

(2 citation statements)

References 18 publications

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“…It has resulted in numerous fatalities, as well as quadriplegia or less severe neurologic dysfunction (3,(7)(8)(9)(10)(11)(12). Mortality of up to 10% of patients with cord compromise secondary to atlantoaxial subluxation has been reported (10).…”

Section: Brief Report Clinical Assessment Of Atlantoaxial Instabilitymentioning

confidence: 99%

“…Atlantoaxial subluxation is the most common and significant manifestation of involvement of the cervical spine in rheumatoid arthritis (RA) (1)(2)(3)(4)(5)(6). It has resulted in numerous fatalities, as well as quadriplegia or less severe neurologic dysfunction (3,(7)(8)(9)(10)(11)(12). Mortality of up to 10% of patients with cord compromise secondary to atlantoaxial subluxation has been reported (10).…”

Section: Clinical Assessment Of Atlantoaxial Instability Using the Shmentioning

confidence: 99%

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Clinical assessment of atlantoaxial instability using the sharp‐purser test

Uitvlugt

Indenbaum

1988

Arthritis & Rheumatism

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Anterior atlantoaxial subluxation is common in rheumatoid arthritis patients with involvement of the cervical spine. Sharp and Purser have described a test for the clinical assessment of this instability. We assessed the validity of the Sharp-Purser test in 123 outpatients with rheumatoid arthritis. Our findings indicate a predictive value of 85% and a specificity of 96%. The sensitivity was 88% when subluxation was greater than 4 mm. Our results show that the Sharp-Purser test is a useful clinical examination to diagnose atlantoaxial instability.

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