n South African Medical Journal - Resolution of a periodontoid rheumatoid pannus mass in an elderly patient treated with a rigid cervical collar : a case report and literature review : in practice - case report
|Article Title||Resolution of a periodontoid rheumatoid pannus mass in an elderly patient treated with a rigid cervical collar : a case report and literature review : in practice - case report|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 Lagos University Teaching Hospital, Nigeria, 2 Sana Kliniken Duisburg, Germany, 3 Sana Kliniken Duisburg, Germany and 4 Sana Kliniken Duisburg, Germany|
|Publication Date||Jul 2016|
|Pages||687 - 688|
In patients with C2 rheumatoid pannus with spinal cord compression the treatment of choice is extensive surgery either through a transoral resection of the dens axis or a dorsal stabilisation, or both. We present a case of an 11-mm rheumatoid pannus with significant compression of the spinal cord, which failed surgical treatment with respect to dorsal stabilisation. Therefore, rigid cervical collar for 8 weeks followed by soft collar for another 4 weeks was chosen as a treatment option. During the follow-up period of 1 year, the pannus reduced significantly and the spinal cord decompressed. In cases where surgery is not an option or is technically very demanding, the alternative of cervical collar immobilisation is a satisfying option.
Article metrics loading...