Recent Question

(OBQ05.48) A 63-year-old woman with rheumatoid arthritis has long standing neck pain and new onset of difficulty with manual dexterity, such as buttoning her shirt and holding small objects. She reports difficulty walking up the stairs, and reports she feels increasingly unsteady on her feet. On exam she has 4+ patellar reflexes. Flexion and extension radiographs are shown in Figure A and B. What is the most appropriate treatment at this time? Topic Review Topic
FIGURES: A          

1. Immobilization in a soft cervical collar for 6 weeks
2. Halo immobilization for six weeks
3. Transoral odontoid resection
4. Occipitocervical fusion with instrumentation
5. Posterior C1-C2 fusion with instrumentation

PREFERRED RESPONSE ▶

Recent Cases

http://upload.orthobullets.com/cases/2030/photo0302.jpg http://upload.orthobullets.com/cases/2030/photo0303.jpg http://upload.orthobullets.com/cases/2030/photo0304.jpg
HPI - He had closed fracture of R/ Femur following RTA in 2013. He was operated in a p...
poll What will you do for this patient at this stage?
Posted 12 hours ago - 14 responses - 0 views
http://upload.orthobullets.com/cases/2029/photo0159.jpg http://upload.orthobullets.com/cases/2029/photo0157.jpg http://upload.orthobullets.com/cases/2029/photo0175_1_.jpg
HPI - Had a fall from height 6hrs ago.
poll What would be the plan of management.
Posted 3 days ago - 184 responses - 0 views

Recent Videos

video
Video Duration: 5 Minutes The 2014 OITE 60-Day Cram Plan is designed to prepare residents for the 20...
Posted 1 week ago - 0 responses - 1024 views
video
flat foot (pes planus)
Posted 2 weeks ago - 5 responses - 300 views

Job Bank

Hand Surgeon, Academic
VA Medical Center - Martinsburg, West Virginia, WV
Posted 11/23/2013

Total Joint Surgeon, Academic
VA Medical Center - Martinsburg, West Virginia, WV
Posted 11/23/2013

General Orthopaedics Surg., Academic
VA Medical Center - Martinsburg, West Virginia, WV
Posted 11/23/2013

Sports Medicine Surgeon, Multispecialty Group
Wayne J. Altman Orthopedics, NJ
Posted 11/21/2013

Spine Surgeon, Multispecialty Group
Wayne J. Altman Orthopedics, NJ
Posted 11/21/2013

General Orthopaedics Surg., OrthoGroup > 10
St. Cloud Hospital , MN
Posted 11/13/2013

Spine Surgeon, OrthoGroup > 10
St. Cloud Hospital , MN
Posted 11/13/2013

Spine Surgeon, OrthoGroup 4-10
Orthopaedic Associates of New Orleans , LA
Posted 11/13/2013

General Orthopaedics Surg., Academic
LSU Health Sciences Center, LA
Posted 11/13/2013

Spine Surgeon, OrthoGroup 4-10
Lewiston Orthopaedic Associates , ID
Posted 11/6/2013

Hand Surgeon, OrthoGroup > 10
ORA Orthopedics , IL
Posted 11/6/2013

Upper Extremilty Surgeon, OrthoGroup > 10
ORA Orthopedics , IL
Posted 11/6/2013

Pediatrics Surgeon, OrthoGroup 4-10
Children’s Orthopaedics of Louisville, KY
Posted 11/6/2013

Office Orthopaedics Surgeon, OrthoGroup 4-10
Children’s Orthopaedics of Louisville , KY
Posted 11/6/2013

Foot & Ankle Surgeon, OrthoGroup 4-10
Trinity Medical Center - Community Health Systems , AL
Posted 10/24/2013

Hand Surgeon, OrthoGroup 4-10
Trinity Medical Center - Community Health Systems , AL
Posted 10/24/2013

Hand Surgeon, OrthoGroup 4-10
The Spine & Ortho Center , CA
Posted 10/23/2013

Upper Extremilty Surgeon, OrthoGroup 4-10
The Spine & Ortho Center , CA
Posted 10/23/2013

Hand Surgeon, Multispecialty Group
Kaiser Permanente - Southern California , CA
Posted 10/23/2013

Total Joint Surgeon, Multispecialty Group
Kaiser Permanente - Southern California , CA
Posted 10/23/2013

Trauma Surgeon, Multispecialty Group
Kaiser Permanente - Southern California , CA
Posted 10/23/2013

General Orthopaedics Surg., Multispecialty Group
The Permanente Medical Group, Inc., CA
Posted 10/23/2013

Sports Medicine Surgeon, Multispecialty Group
The Permanente Medical Group, Inc., CA
Posted 10/23/2013

Total Joint Surgeon, Multispecialty Group
The Permanente Medical Group, Inc., CA
Posted 10/23/2013

General Orthopaedics Surg., OrthoGroup 4-10
Greater Long Beach Orth Surg & Med Grp , CA
Posted 10/23/2013

General Orthopaedics Surg., OrthoGroup 1-3
Saguaro Orthopedic Associates , AZ
Posted 10/23/2013

Total Joint Surgeon, OrthoGroup 1-3
Flowers Hospital - Dothan, AL - Community Health Systems, AL
Posted 10/23/2013

Hand Surgeon, OrthoGroup 1-3
Community Health Systems Plateau Medical Center - Oak Hill, WV, WV
Posted 10/23/2013

Foot & Ankle Surgeon, OrthoGroup 1-3
Community Health Systems Plateau Medical Center - Oak Hill, WV, WV
Posted 10/23/2013

General Orthopaedics Surg., OrthoGroup 1-3
Community Health Systems Plateau Medical Center - Oak Hill, WV, WV
Posted 10/23/2013

Topic Updates

topic Hypophosphatasia on 09/20/14
topic Hypercalcemia on 09/18/14
topic Hypercalcemia on 09/18/14
topic Hypocalcemia on 09/17/14
topic Hypercalcemia on 09/17/14
topic Hypercalcemia on 09/17/14
topic Hypercalcemia on 09/16/14
topic Hypocalcemia on 09/16/14
topic Triceps Rupture on 09/16/14
topic Multiple Sclerosis on 09/15/14
topic Triceps Rupture on 09/15/14
topic THA Stability on 09/15/14
topic Clavicle Fractures on 09/15/14
topic Multiple Sclerosis on 09/15/14
topic TKA Rehabilitation on 09/14/14
topic TKA Complications on 09/14/14
topic TKA Rehabilitation on 09/14/14
topic Hemochromatosis on 09/14/14
topic Multiple Sclerosis on 09/14/14
topic TKA Rehabilitation on 09/14/14
topic TKA Rehabilitation on 09/14/14
topic Multiple Sclerosis on 09/14/14
topic TKA Rehabilitation on 09/13/14
topic Clavicle Fractures on 09/13/14
topic PASS Overview on 09/13/14
topic Embryology on 09/13/14
topic Embryology on 09/13/14
topic TKA Rehabilitation on 09/12/14
topic Sacral Fractures on 09/12/14
topic Multiple Sclerosis on 09/11/14
topic Hemochromatosis on 09/11/14
topic Hemochromatosis on 09/09/14
topic Rotator Cuff Tears on 09/08/14
topic THA Dislocation on 09/02/14
topic Adamantinoma on 09/02/14
topic Collagen on 09/01/14
topic Ligaments on 08/30/14
topic Biceps Subluxation on 08/29/14
topic Dog and Cat Bites on 08/27/14
topic Cartilage on 08/27/14
topic Adamantinoma on 08/27/14
topic THA Stability on 08/27/14
topic Giant Cell Tumor on 08/26/14
topic Adamantinoma on 08/26/14
topic THA Stability on 08/24/14
topic THA Stability on 08/24/14
topic Legal and Ethics on 08/23/14
topic Bone Marrow on 08/23/14
topic Rotator Cuff Tears on 08/22/14
topic Scaphoid Fracture on 08/22/14
topic Legal and Ethics on 08/22/14
topic Meniscal Pathology on 08/21/14
topic Meniscal Cysts on 08/21/14
topic Bone Cells on 08/20/14
topic Bone Marrow on 08/20/14
topic Bone Cells on 08/20/14
topic Bone Marrow on 08/19/14
topic Lipomas on 08/19/14
topic Melanoma on 08/19/14
topic Bone Marrow on 08/19/14
topic Exercise Science on 08/17/14
topic Gluteus medius on 08/17/14