Surgical outcome in rheumatoid Ranawat Class IIIb myelopathy.

  title={Surgical outcome in rheumatoid Ranawat Class IIIb myelopathy.},
  author={Ravindra Nannapaneni and Sanjay Behari and Nicholas V. Todd},
  volume={56 4},
  pages={706-15; discussion 706-15}
OBJECTIVE Rheumatoid arthritis frequently affects the craniovertebral junction (CVJ) and may lead to severe neck pain, quadriparesis, and respiratory dysfunction. Surgery in rheumatoid nonambulatory (Ranawat Class IIIb) patients carries a significant risk. This study presents the surgical outcome of Class IIIb patients with CVJ rheumatoid myelopathy and reviews the literature. METHODS One hundred twelve consecutive patients with rheumatoid cervical myelopathy underwent surgical decompression… CONTINUE READING