Question

Rheumatoid cervical spondylitis.Which of the following radiographic parameters would be an indication for surgical stabilization?

Option 1: C2-C7 angle of 20 degrees
Option 2: Anterior cervical dislocation
Option 3: Normal cervical lordosis
Option 4: Intervertebral disc herniation

Answer 1

Anterior cervical dislocation is the radiographic parameter that would most likely indicate a need for surgical stabilization in the setting of rheumatoid cervical spondylitis.

Step-by-step explanation:

The indication for surgical stabilization in the context of rheumatoid cervical spondylitis from the provided options is an Anterior cervical dislocation. This condition presents a significant instability and potential for neurological compromise, often necessitating surgical intervention to stabilize the cervical spine. In contrast, a C2-C7 angle of 20 degrees might not require surgery if it does not lead to instability or neurological symptoms.

Similarly, Normal cervical lordosis is not an indication for surgery, as it represents the normal curvature of the cervical spine. Lastly, an Intervertebral disc herniation would typically require surgery based on clinical symptoms of nerve compression rather than solely on radiographic findings.