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Chronic inflammatory arthritis may cause subluxation of the cervical spine.1,2 Risk factors for this complication include the presence of rheumatoid factor and severe peripheral joint disease.3–7
The reported prevalence of cervical involvement in patients with rheumatoid arthritis (RA) varies widely from 17% to 88%.7–9 In early RA5,6,10 cervical involvement is much less common, and a recent trial suggested that it might be further reduced with the use of early aggressive treatment for RA.5 The present cross sectional study assesses the prevalence and clinical significance of cervical spine involvement as encountered in our early arthritis clinic, which includes patients with peripheral arthritis …
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