Thoracic spinal cord compression by a rheumatoid nodule

Levy, Yahav; Stalley, PD; Bleasel, Jane

doi:10.1111/j.1444-0903.2004.00553.x

Cited by 5 publications

(1 citation statement)

References 5 publications

(5 reference statements)

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“…There have been case reports of extradural and intradural rheumatoid nodules causing thoracolumbar stenosis and radiculopathy. 26 - 28 There have also been case reports of spinal neuroarthropathy secondary to RA, caused by loss of innervation to the spine from cytokine release leading to degenerations in disks, end plates, and facet joints resulting in dislocations. 29 …”

Section: Manifestationsmentioning

confidence: 99%

Surgical Management of the Lumbar Spine in Rheumatoid Arthritis

Joo

Mesfin

2019

Global Spine Journal

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Study Design: Narrative review. Objective: To provide an overview on the diagnosis and surgical management of rheumatoid involvement of the lumbar spine. Rheumatoid arthritis (RA) is a chronic inflammatory disease of synovial joints, most commonly appendicular followed by axial. Although cervical spine involvement of RA is well documented, data on lumbar spine involvement and surgical management remains limited. Methods: Using PubMed, studies published prior to November 2018 with the keywords “RA, etiology”; “RA, spine management”; “RA, surgical management”; “RA, treatment”; “RA, DMARDs”; “RA, lumbar spine”; “RA, spine surgical outcomes”; “RA, imaging” were evaluated. Results: The narrative review addresses the epidemiology, manifestations, imaging, surgical complications, and operative and nonoperative management of RA involvement of the lumbar spine. Conclusions: Rheumatoid involvement of the lumbar spine can present with lower back pain, neurogenic claudication, radiculopathy, spinal deformity, and instability. Patients with RA have significantly higher rates of vertebral fractures and complications following surgical intervention. However, in the setting of instability and spinal deformity, thoughtful surgical planning in conjunction with optimal medical management is recommended.

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