Instability in the distal-to-stabilization segments after occipito-cervical fixation in patients with rheumatoid arthritis: the challenge of spine surgery
Marek Rybarczyk, Kamil Koszela, Małgorzata Mańczak, Robert Gasik · 2025
Read Instability in the distal-to-stabilization segments after occipito-cervical fixation in patients with rheumatoid arthritis: the challenge of spine surgery by Marek Rybarczyk, Kamil Koszela, Małgorzata Mańczak, Robert Gasik (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12705738.txt.
Description
Marek Rybarczyk, Kamil Koszela, Małgorzata Mańczak and Robert Gasik study spinal instability after skull-to-neck fixation in rheumatoid arthritis, in this 2025 Europe PMC paper. The disease often destabilizes the top two neck vertebrae, a serious neurological risk fixed by occipitocervical surgery. A known complication is new instability in segments just below the hardware.
Reviewing thirty-three patients, they found instability below the fixation in nineteen. A posture measure, the C2-C7 sagittal vertical axis, was much smaller after surgery in patients who developed instability. Each added millimeter of that distance lowered the odds of instability by roughly a tenth. The authors call for more research on surgical planning.
Catalog record
| CREATOR | Marek Rybarczyk, Kamil Koszela, Małgorzata Mańczak, Robert Gasik |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |