1974 Volume 23 Issue 3 Pages 340-343
X-ray examination of the cervical spine were performed on twenty-one hospitalized patients and fourty-two ambulatory patients complaining of neck pains with rheumatoid arthritis. Abnormal atlanto-odontoid separation was found in twenty-four patients and pseudo-basilar impression in thirteen. One of them showed maximum upward transposition of the dens of 10mm above Macgregor's baseline. In addition subluxation of subaxial levels, endoplate erosions and erosions of apophyseal joint were found frequently at the level of C2-3 to C4-5. Atlantoaxial posterior fusion by R. W. McGraw was carried out on a case suffering from severe occipital pain and trigeminal neuralgia associated with sublu xation of the atlano-axial joint on March 15 1974. Three months after operation she had relieved of occipital pain and hyperalgesia on limb and trunk.
