Abstract
To define the changes of the cervical spine of RA, 98 patients of RA were studied according to its clinical symptoms, Lansbury index, ADI, Stage and the duration of disease. 87 of the patients were women and 15 men. These ages ranged from 27 to 75 years old, with an average of 54.9 years old.The duration of disease varied from 10 months to 37 years (average, 12 years and 8 months). Of 98 patients, atlanto-axial subluxation developed in 21 (21.4%) and disc space narrowing in 19 (19.4%).Nuchal pain was a common finding in the patients and found in 74 (75.5%).But they had not always correlation with symptoms and cervical changes. In 30 patients who had cervical involvement, there was no symptoms about cervical region. The cervical involvements increased in the patients whose duration of disease was more than 13 years and/or with Lansbury index more than 45 per cent.And it may be necessary to check the cervical spine in such patients unless they had no symptoms about cervical spine.
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