Treatment Results of Posterior Instrumentation Applied to Thoracolumbar Spine in Multiple Segment Involvement in Seronegative Rheumatoid Arthritis

Abstract

Spinal segment involvement is a common symptom in rheumatoid arthritis. The cervical region is the most commonly involved spinal segment in individuals with rheumatoid arthritis. Multiple involvement of thoracic and lumbar vertebrae is known to be rare. In patients with seronegative rheumatoid arthritis, this type of segment involvement is more severe and conservative treatment is insufficient in some cases and surgical interventions are taken. In our study, the clinical features of a 66-year-old female patient with multiple involvement in thora-columbar segments were evaluated before and after physiotherapy and rehabilitation sessions with conservative treatment and the changes in the clinical condition were emphasized. The unique feature of our study is the discussion of the evaluation and treatment results of this rare pathological condition with this case report.