![]() ![]() Radiological evaluation of cervical spine involvement in rheumatoid arthritis. Joaquim AF, Ghizoni E, Tedeschi H, Appenzeller S, Riew KD. Cervical spine involvement in rheumatoid arthritis - a systematic review. Clinical assessment of atlantoaxial instability using the Sharp-Purser test. Illustrated handbook of rheumatic and musculo-skeletal diseases. Pelechas E, Kaltsonoudis E, Voulgari PV, Drosos AA. What a rheumatologist should know and how to interpret the radiological findings. Conventional radiography of the hands and wrists in rheumatoid arthritis. Summaryīecause CS involvement can often be clinically asymptomatic, its assessment should not be forgotten by physicians and should be assessed using CR which is an easy to perform technique and gives important information as a screening tool.ĭrosos AA, Pelechas E, Voulgari PV. The commonest radiological feature was the AAS followed by subaxial subluxation. We found that the frequency of radiological findings varies substantially, ranging between 0.7–95% in different studies. Thus, we reviewed the literature until December 2019 for studies regarding CS radiological manifestations using CR in RA patients. However, CR is the most valuable tool for screening CS in RA patients. Since CR does not provide good information regarding synovial inflammation, other imaging modalities are used such as magnetic resonance imaging and computed tomography. For the evaluation of CS in RA the classical diagnostic technique used mostly is conventional radiography (CR). The radiological finding observed in this region is the atlanto-axial subluxation (AAS). ![]() The commonest site of inflammation of the CS is the articulation between C 1 and C 2 vertebrae, the atlanto-axial region. Although CS involvement is a frequent radiographic finding in RA, the clinical features are scarce, but potentially life-threatening with severe neurological deficits or even death due to brain stem compression. Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting mainly the peripheral skeleton in a symmetrical manner rather than the axial skeleton, but when it occurs it can affect the cervical spine (CS). ![]()
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