{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T20:37:35Z","timestamp":1694464655954},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T00:00:00Z","timestamp":1410134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We aim to draw attention to occult, atraumatic fractures of the odontoid process in patients with rheumatoid arthritis (<jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>) and to underline difficulties encountered during clinical and radiological diagnosis. A forty\u2010seven years old man with <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> for 4\u00a0years had occipital pain for 1\u00a0year without any history of trauma. Later, he developed weakness in the upper extremities, but he did not realize weakness in the lower extremities due to deformities. Contrast magnetic resonance imaging revealed a linear fracture of odontiod process and myelopathy. Cervical computed tomography scan revealed an old fracture border with separated and almost disappeared remnant of the tip of the odontoid without free particles in the cord. It was impossible to evaluate atlantoaxial and vertical subluxations with craniometric measurements due to destruction of the tip of odontoid. Following occipitocervical fusion and decompression and a rehabilitation program, his muscle strength improved; however, functional myelopathy stage did not change. Atraumatic fractures of the odontoid process may be more common than reported and may cause compression of the spinal cord or brain stem. Surgery is the treatment of choice but functional recovery is limited once neuronal damage has occurred. Erosion of the critical landmarks makes it difficult to diagnose and follow up atlantoaxial subluxation and\/or vertical subluxation, therefore clinicians should consider radiographical follow\u2010ups during the course of the disease.<\/jats:p>","DOI":"10.1111\/1756-185x.12455","type":"journal-article","created":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T04:20:16Z","timestamp":1410150016000},"page":"2041-2045","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case with rheumatod arthritis and atraumatic odontoid fracture: disappearence of bony landmarks"],"prefix":"10.1111","volume":"21","author":[{"given":"Gulin","family":"Findikoglu","sequence":"first","affiliation":[{"name":"Deparment of Physical Medicine and Rehabilitation University of Pamukkale Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fusun","family":"Ardic","sequence":"additional","affiliation":[{"name":"Deparment of Physical Medicine and Rehabilitation University of Pamukkale Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuray","family":"Akkaya","sequence":"additional","affiliation":[{"name":"Deparment of Physical Medicine and Rehabilitation University of Pamukkale Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fusun","family":"Sahin","sequence":"additional","affiliation":[{"name":"Deparment of Physical Medicine and Rehabilitation University of Pamukkale Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuran","family":"Sabir","sequence":"additional","affiliation":[{"name":"Deparment ofRadiology University of Pamukkale Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bayram","family":"Cirak","sequence":"additional","affiliation":[{"name":"Deparment ofNeurosurgery University of Pamukkale Denizli Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2005.09.012"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e3181993315"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.25011"},{"key":"e_1_2_9_5_1","first-page":"684","article-title":"Occult fracture of the odontoid process: report of case","volume":"30","author":"Byrne RP","year":"1972","journal-title":"J Oral Surg"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1995.tb03603.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199508000-00016"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1148\/90.5.948"},{"key":"e_1_2_9_9_1","first-page":"120","article-title":"Pathological fracture of the odontoid process in rheumatoid arthritis","volume":"2","author":"Storms GE","year":"1980","journal-title":"Neth J Med"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199210001-00016"},{"key":"e_1_2_9_11_1","first-page":"1037","article-title":"Radiologic case study. 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