Atlanto-odontoid osteoarthritis in rheumatoid arthritis: dynamic CT findings

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dc.authoridSigirci, Ahmet/0000-0001-9221-0002
dc.authoridErsoy, Yuksel/0000-0002-8035-4532
dc.authorwosidSigirci, Ahmet/ABG-7387-2020
dc.authorwosidAltay, Zuhal/AAC-4361-2021
dc.authorwosidErsoy, Yuksel/S-7503-2016
dc.contributor.authorBaysal, O
dc.contributor.authorBaysal, T
dc.contributor.authorSigirci, A
dc.contributor.authorErsoy, Y
dc.contributor.authorAltay, Z
dc.date.accessioned2024-08-04T20:31:10Z
dc.date.available2024-08-04T20:31:10Z
dc.date.issued2004
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe analyzed the CT appearances of degenerative change in the atlanto-odontoid joint (AOJ) in patients with rheumatoid arthritis (RA) and evaluated the effect of these changes on atlanto-axial joint (AAJ) rotation by dynamic CT. This revealed that 9 patients (24%) treated with methotrexate had degenerative features in the AOJ. The ratio of AAJ rotation to the total rotation of the cervical spine was significantly higher in normal subjects (54+/-3%) than in patients (38+/-12%). The degree of AAJ rotation was significantly lower in the patient group with degenerative features in the AOJ (20.9+/-8.4degrees) than in patients without degenerative features (28.5+/-7.4degrees). RA patients with a history of longstanding disease and treatment with antirheumatic drugs may develop AO OA. Although secondary OA was described as healing phenomena in the joints of RA patients, it can limit rotation in the AAJ and cause suboccipital neck pain. A regular check-up of the AAJ and AOJ by means of dynamic CT in all RA patients is proposed to avoid possible antirheumatic drug complications.en_US
dc.identifier.doi10.1007/s10067-004-0895-6
dc.identifier.endpage394en_US
dc.identifier.issn0770-3198
dc.identifier.issue5en_US
dc.identifier.pmid15459811en_US
dc.identifier.scopus2-s2.0-6344264026en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage390en_US
dc.identifier.urihttps://doi.org/10.1007/s10067-004-0895-6
dc.identifier.urihttps://hdl.handle.net/11616/94776
dc.identifier.volume23en_US
dc.identifier.wosWOS:000224558800002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofClinical Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectaxisen_US
dc.subjectCTen_US
dc.subjectosteoarthritisen_US
dc.subjectrheumatoid arthritisen_US
dc.subjectspineen_US
dc.titleAtlanto-odontoid osteoarthritis in rheumatoid arthritis: dynamic CT findingsen_US
dc.typeArticleen_US

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