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pubmed-article:15125859pubmed:dateCreated2004-5-5lld:pubmed
pubmed-article:15125859pubmed:abstractTextRheumatoid arthritis affects over 2 million patients in the United States. It is the most common inflammatory disorder of the cervical spine. The natural history is variable. Women tend to be more commonly involved than men. Atlantoaxial instability is the most common form of cervical involvement and may occur either independently or concomitantly with cranial settling and subaxial instability. Cervical spine involvement can be seen in up to 86% of patients and neurologic involvement in up to 58%. Myelopathy is rare but when present portends a poor prognosis. What is frustrating for clinicians treating these patients is that pain cannot be equated with instability or instability with neurologic symptoms. The goal is to identify patients at risk before the development of neurologic symptoms. Both radiographic and nonradiographic risk factors play an important role in the surgical decision-making process.lld:pubmed
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pubmed-article:15125859pubmed:authorpubmed-author:FrankLawrence...lld:pubmed
pubmed-article:15125859pubmed:authorpubmed-author:VaccaroAlexan...lld:pubmed
pubmed-article:15125859pubmed:authorpubmed-author:LudwigSteven...lld:pubmed
pubmed-article:15125859pubmed:authorpubmed-author:GelbDaniel...lld:pubmed
pubmed-article:15125859pubmed:authorpubmed-author:AndersonPaul...lld:pubmed
pubmed-article:15125859pubmed:authorpubmed-author:NguyenHoan...lld:pubmed
pubmed-article:15125859pubmed:authorpubmed-author:SilberJeffery...lld:pubmed
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pubmed-article:15125859pubmed:volume4lld:pubmed
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pubmed-article:15125859pubmed:pagination329-34lld:pubmed
pubmed-article:15125859pubmed:dateRevised2005-11-16lld:pubmed
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pubmed-article:15125859pubmed:articleTitleRheumatoid arthritis of the cervical spine.lld:pubmed
pubmed-article:15125859pubmed:affiliationDepartment of Orthopaedics and Rehabilitation, Penn State University, 500 University Drive, Hershey, PA 17036, USA.lld:pubmed
pubmed-article:15125859pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:15125859pubmed:publicationTypeReviewlld:pubmed
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