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Adult Rheumatoid Arthritis, Cervical Spine
Julia R. Crim, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Rheumatoid arthritis (RA)

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Wolfs JF et al: Neurologic outcome of surgical and conservative treatment of rheumatoid cervical spine subluxation: a systematic review. Arthritis Rheum. 61(12):1743-52, 2009
                                          2. Kim DH et al: Rheumatoid arthritis in the cervical spine. J Am Acad Orthop Surg. 13(7):463-74, 2005
                                          3. Shen FH et al: Rheumatoid arthritis: evaluation and surgical management of the cervical spine. Spine J. 4(6):689-700, 2004
                                          4. Neva MH et al: Early and extensive erosiveness in peripheral joints predicts atlantoaxial subluxations in patients with rheumatoid arthritis. Arthritis Rheum. 48(7):1808-13, 2003
                                          5. Roche CJ et al: The rheumatoid cervical spine: signs of instability on plain cervical radiographs. Clin Radiol. 57(4):241-9, 2002
                                          6. Riew KD et al: Diagnosing basilar invagination in the rheumatoid patient. The reliability of radiographic criteria. J Bone Joint Surg Am. 83-A(2):194-200, 2001
                                          7. Riise T et al: High mortality in patients with rheumatoid arthritis and atlantoaxial subluxation. J Rheumatol. 28(11):2425-9, 2001
                                          8. Janssen H et al: MR imaging of arthritides of the cervical spine. Magn Reson Imaging Clin N Am. 8(3):491-512, 2000
                                          9. Neva MH et al: Prevalence of radiological changes in the cervical spine--a cross sectional study after 20 years from presentation of rheumatoid arthritis. J Rheumatol. 27(1):90-3, 2000
                                          10. Zoli A et al: Craniocervical junction involvement in rheumatoid arthritis: a clinical and radiological study. J Rheumatol. 27(5):1178-82, 2000
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Rheumatoid arthritis (RA)

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Staging, Grading, & Classification

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Wolfs JF et al: Neurologic outcome of surgical and conservative treatment of rheumatoid cervical spine subluxation: a systematic review. Arthritis Rheum. 61(12):1743-52, 2009
                                                                                  2. Kim DH et al: Rheumatoid arthritis in the cervical spine. J Am Acad Orthop Surg. 13(7):463-74, 2005
                                                                                  3. Shen FH et al: Rheumatoid arthritis: evaluation and surgical management of the cervical spine. Spine J. 4(6):689-700, 2004
                                                                                  4. Neva MH et al: Early and extensive erosiveness in peripheral joints predicts atlantoaxial subluxations in patients with rheumatoid arthritis. Arthritis Rheum. 48(7):1808-13, 2003
                                                                                  5. Roche CJ et al: The rheumatoid cervical spine: signs of instability on plain cervical radiographs. Clin Radiol. 57(4):241-9, 2002
                                                                                  6. Riew KD et al: Diagnosing basilar invagination in the rheumatoid patient. The reliability of radiographic criteria. J Bone Joint Surg Am. 83-A(2):194-200, 2001
                                                                                  7. Riise T et al: High mortality in patients with rheumatoid arthritis and atlantoaxial subluxation. J Rheumatol. 28(11):2425-9, 2001
                                                                                  8. Janssen H et al: MR imaging of arthritides of the cervical spine. Magn Reson Imaging Clin N Am. 8(3):491-512, 2000
                                                                                  9. Neva MH et al: Prevalence of radiological changes in the cervical spine--a cross sectional study after 20 years from presentation of rheumatoid arthritis. J Rheumatol. 27(1):90-3, 2000
                                                                                  10. Zoli A et al: Craniocervical junction involvement in rheumatoid arthritis: a clinical and radiological study. J Rheumatol. 27(5):1178-82, 2000