Joaquim Andrei F, Ghizoni Enrico, Tedeschi Helder, Appenzeller Simone, Riew K Daniel
Departments of 1 Neurology and.
Neurosurg Focus. 2015 Apr;38(4):E4. doi: 10.3171/2015.1.FOCUS14664.
Cervical spine involvement commonly occurs in patients with rheumatoid arthritis (RA), especially those with inadequate treatment or severe disease forms. The most common site affected by RA is the atlantoaxial joint, potentially resulting in atlantoaxial instability, with cervical pain and neurological deficits. The second most common site of involvement is the subaxial cervical spine, often with subluxation, resulting in nerve root or spinal cord compression. In this paper, the authors review the most commonly used plain radiographic criteria to diagnose cervical instabilities seen with RA. Finally, we discuss the advantages and disadvantages of cervical CT and MRI in the setting of cervical involvement in RA.
类风湿关节炎（RA）患者常出现颈椎受累，尤其是那些治疗不充分或患有严重疾病类型的患者。RA最常累及的部位是寰枢关节，可能导致寰枢椎不稳，伴有颈部疼痛和神经功能缺损。第二常见的受累部位是下颈椎，常伴有半脱位，导致神经根或脊髓受压。在本文中，作者回顾了诊断RA患者颈椎不稳最常用的X线平片标准。最后，我们讨论了颈椎CT和MRI在RA颈椎受累情况下的优缺点。
