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© 1981 British Society for Rheumatology

research-article

LONG-TERM CORTICOSTEROIDS AND CERVICAL SUBLUXATION IN NON-RHEUMATOID PATIENTS

S. R. RUDGE1,, P. L. DRURY2 and J. K. LLOYD-JONES1

1Harlow Wood Orthopaedic Hospital Mansfield, Notts
2St. Bartholomew's Hospital Medical College London ECIA 7BE

Correspondence to: Requests for reprints to Dr. M. A. Spencer, Royal United Hospital, Combe Park, Bath, Avon.

Forty-five non-rheumatoid patients with chronic chest disease were examined radiographically for evidence of cervical subluxation. Twenty-six patients had received continuous corticosteroids for periods of between two and 20 years. The remainder (19 patients) had never been treated with steroids and acted as controls.

There was no difference in atlanto-axial distance between the steroid-treated and control groups and in no patient did this measurement exceed 3 mm. However, subaxial subluxation was significantly increased in the steroid-treated group, directly related to the duration of steroid therapy (P < 0.025)


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