{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:33:30Z","timestamp":1760189610588},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[1988,11,1]],"date-time":"1988-11-01T00:00:00Z","timestamp":594345600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1988,11]]},"abstract":"<jats:p> We present a study of 30 fusion operations in 26 rheumatoid arthritics with cervical spine instability. Atlanto-axial instability was present in 15, of whom 12 were fused; three had cord involvement and all made a partial or complete recovery following fusion. Cranial settling necessitated cranio-cervical fusion in four patients; all fused, and one with myelopathy was relieved. Subaxial instability required fusion in seven cases; two postoperative deaths followed the only two anterior interbody fusions. Posterior fusion was successful in the other five, with remission of neurological compromise in the three with myelopathy and one with radiculopathy. We conclude that neurological compromise in an unstable but mobile rheumatoid cervical spine can usually be brought to remission by immobilisation alone, so decompressive procedures are unnecessary in the first instance. <\/jats:p>","DOI":"10.1302\/0301-620x.70b5.3192564","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:42:17Z","timestamp":1519213337000},"page":"702-707","source":"Crossref","is-referenced-by-count":39,"title":["Cervical spine instability in rheumatoid arthritis"],"prefix":"10.1302","volume":"70-B","author":[{"given":"AW","family":"Heywood","sequence":"first","affiliation":[{"name":"Princess Alice Orthopaedic Hospital, University of Cape Town, Plumstead, Republic of South Africa."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ID","family":"Learmonth","sequence":"additional","affiliation":[{"name":"Princess Alice Orthopaedic Hospital, University of Cape Town, Plumstead, Republic of South Africa."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Thomas","sequence":"additional","affiliation":[{"name":"Princess Alice Orthopaedic Hospital, University of Cape Town, Plumstead, Republic of South Africa."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.70B5.3192564","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.70B5.3192564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T21:41:58Z","timestamp":1629150118000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.70B5.3192564"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,11]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1988,11]]}},"alternative-id":["10.1302\/0301-620X.70B5.3192564"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.70b5.3192564","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,11]]}}}