ArticlePain medicine (Malden, Mass.)2024
Athrodesis of the lateral atlanto-axial joint for the relief of neck pain and cervicogenic headache.
Article in Pain medicine (Malden, Mass.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Article
- Early outcomes from intra-articular lateral C1-2 joint steroid injections: A retrospective case series.Interventional pain medicine · 2026Article
- Minimally Invasive Interventions for Cervicogenic Headache: A Systematic Review of Targeted Anatomical Approaches and Clinical Outcomes.Journal of pain research · 2026Review
- Efficacy of Atlantoaxial Joint Steroid Injections in Managing Cervicogenic Headache: A Case Series.Journal of orthopaedic case reports · 2025Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoarthrosis of the lateral atlanto-axial joint (LAAJ) may be a cause of upper neck pain and headache. Intra-articular injection of steroids may provide only short-lasting relief. For intractable pain, arthrodesis of the joint might be considered.
objectiveTo determine the success rates of arthrodesis of the lateral atlanto-axial joint for relieving neck pain and disability.
designPractice audit.
settingPrivate practice of senior author. SUBJECTS: Prospective series of 23 consecutive patients.
methodsOutcomes were measured using a numerical rating scale for neck pain, and the Neck Disability Index for disability. Success rates were calculated for various degrees of improvement of neck pain at long-term follow-up (8-40 months), and for achieving various combinations of improvement of both neck pain and disability.
resultsComplete relief of pain was achieved in 40% of patients, with a further 40% achieving at least 50% relief. At long-term follow-up, 30% of patients had no neck pain and no disability, and a further 25% had only minimal pain, minimal disability, or both.
conclusionsThe present study did not corroborate earlier studies that claimed outstanding outcomes for arthrodesis of the LAAJ, but its outcomes are consonant with more recent studies that provided transparent outcome data. These studies provide Pain Physicians with empirical data on success rates and outcomes, upon which they can base their consideration of referral for arthrodesis.
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