Atlanto-axial subluxation in patients with rheumatoid arthritis presents a difficult therapeutic problem. Because of their underlying disease, these patients do not tolerate the heavy orthotic devices or prolonged periods of immobilization associated with traditional methods of surgical fusion. This paper describes a surgical technique which allows early mobilization and minimal external fixation. The results from a series of ten patients in which this technique was used are also discussed.
de los Reyes, R. A.; Malik, G. M.; Wu, K. K.; and Ausman, J. I.
"A New Surgical Approach to Stabilizing C1-2 Subluxation in Rheumatoid Arthritis,"
Henry Ford Hospital Medical Journal
: Vol. 29
Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol29/iss3/2