The results of surgical treatment of 12 @entity1 with @entity309 were reviewed. The Ranawat classification was as follows: 5 with Ranawat IIIB, 1 Ranawat IIIA and 6 Ranawat II. Decompression and fusion using autogenous iliac bone graft and double occipitospinal plate fixation was carried out on 11 of these @entity1 ; the remaining @entity1 underwent upper cervical spine fusion using screw and wire fixation. The main indication for surgery was @entity16 . In three cases previous surgery had been carried out on the cervical spine. The results were assessed at a mean follow-up of 26.1 months. According to Frankel's grading the neurological recovery in @entity1 with neurological compression was one grade. There was clinical and radiological evidence of fusion in all these @entity1 . The following complications required further surgery: acute @entity86 (one @entity1 ) @entity1349 (one @entity1 ) CONCLUSION: Fusion of the occiput and lateral mass of the involved cervical spine using a plate on each side provides a relatively stable fixation in @entity1 with @entity309 . Laminectomy and adequate decompression of the neural elements can be carried out without compromising spinal stability. There is a relatively high complication rate associated with surgery for rheumatoid neck and the @entity1 needs to be informed.

Surgical treatment for XXXX bilateral occipitospinal fusion with plate fixation.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological deterioration'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative epidural hematoma'] @entity309 :: ('MESH:D001172', 'Disease') :: ['rheumatoid arthritis of the cervical spine', 'rheumatoid cervical spine arthritis'] @entity1349 :: ('MESH:D011475', 'Disease') :: ['screw loosening']
@entity309 :: (MESH:D001172,Disease) :: ['rheumatoid neck arthritis']
