Spinal Affections in Rheumatological Diseases

Authors

  • Pradeep Kumar Dave Head, Department of Orthopedics, Rockland Hospital, Qutub Institutional Area, New Delhi

Keywords:

Spine in rheumatoid arthritis medical treatment and surgical scoliosis correction, paralytic, congenital and in the paediatric age group.

Abstract

A brief resume of management of rheumatoid arthritis in India is highlighted causes of deformity its radiological features and the goals of its management are discussed.  Management included medical drug treatment, physical therapy and surgical treatment including synovectomy, osteotomies and joint replacement.  Brief description of involvement of cervical spine in rheumatoid arthritis is also made.

 

The evolution of treatment of scoliosis starting from conservative to all stages of surgical treatment is also described.  Surgical correction involved posterior instrumentation and fusion anterior release with or without instrumentation and fusion.  Treatment of congenital and paralytic scoliosis is also discussed. Newer surgical modalities in treatment of paediatric scoliosis was also highlighted.

References

Harrington PK, Dickson JH (1973). An eleven-year clinical investigation of Harrington instrumentation. A preliminary report of 578 cases. Clin Orthop Relat Res 93 : 113-130.

Luque ER (1982). Segmental spinal instrumentation for correction of scoliosis. Clin Orthop Relat Res 163 : 192-198.

Shuffle Barger HL, Kahn A 3rd, Rinsky LA, et al. (1985). Segmental spinal instrumentation in idiopathic scoliosis : A retrospective analysis of 234 cases. Ortho Trans 9 : 124.

Dubousset J, Katti E, Seringe R (1993). Epiphysiodesis of the spine in young children for congenital spinal deformations. J Paed Orthop1 : 123.

Freedman L, Leong J, Lub K, et al. (1987). One stage combined anterior and posterior excision of hemivertebra in the lower lumbar spine. J Bone Joint Surg 69B : 854.

Published

2016-07-01

Issue

Section

ARTICLES