The rheumatoid cervical spine: Signs of instability on plain cervical radiographs

Clare J. Roche, Brian E. Eyes, Graham H. Whitehouse

Research output: Contribution to a Journal (Peer & Non Peer)Review articlepeer-review

36 Citations (Scopus)

Abstract

The cervical spine is a common focus of destruction from rheumatoid arthritis, second only to the metacarpophalangeal joints. Joint, bone and ligament damage in the cervical spine leads to subluxations which can cause cervical cord compression resulting in paralysis and even sudden death. Because many patients with significant subluxations are asymptomatic, the radiologist plays a key role in recognizing the clinically important clues to instability on plain radiographs of the cervical spine-often difficult in rheumatoid arthritis when the bony landmarks are osteoporotic or eroded. This review focuses on the signs of instability on plain radiographs of the cervical spine, using diagrams and clinical examples to illustrate methods of identifying significant subluxations in rheumatoid arthritis.

Original languageEnglish
Pages (from-to)241-249
Number of pages9
JournalClinical Radiology
Volume57
Issue number4
DOIs
Publication statusPublished - 1 Apr 2002
Externally publishedYes

Keywords

  • Abnormalities of the atlas and axis
  • Arthritis of the spine
  • Radiography of the spine
  • Rheumatoid arthritis spine

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