Syringomyelia caused by loosening of multistrand cables following C1-2 Brooks-type fusion in the rheumatoid cervical spine. Case report.
case_report · Level V
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Abstract
The authors report a very rare case of syringomyelia caused by loosening of multistrand cable wires following C1-2 Brooks-type fusion in a 36-year-old woman with a 13-year history of rheumatoid arthritis (RA). The syrinx vanished immediately after removal of the cables, and 2 years later no recurrence of symptoms or deterioration has occurred. The authors contend that multistrand titanium cables should not be used to fix a graft-assisted C1-2 construct in patients with RA, although this material is good for fixing rods. The phenomenon observed in this case adds to our understanding of the pathogenesis of noncommunicating syringomyelia.
Medical subject headings
- Arthritis, Rheumatoid
- Bone Wires
- Cervical Vertebrae
- Prosthesis Failure
- Spinal Fusion
- Syringomyelia
Anatomy
- cervical spine