What is the natural history of rheumatoid cervical disease

Understanding of the natural history of rheumatoid cervical disease is incomplete. Neck pain is common and can be present in more than 80% of patients. AAS develops in 33% to 50% of patients within 5 years of diagnosing RA. However, up to half of patients with cervical radiographic instability are asymptomatic. The most common early instability pattern is AAS. Disease progression causes the AAS to become fixed. Erosion of the C1-C2 and occiput-C1 joints leads to superior migration of the odontoid (AAI) and can eventually cause brainstem compression. Two percent to 10% of patients with AAS develop myelopathy over the next 10 years. Once diagnosed with myelopathy, 50% die within a year. SAS is less common than the other deformity patterns and typically develops after AAI or following C1-C2 fusion or occipitocervical fusion.

How To Win Your War Against Back Pain

How To Win Your War Against Back Pain

Knowing the causes of back pain is winning half the battle against it. The 127-page eBook, How To Win Your War Against Back Pain, explains the various causes of back pain in a simple manner and teaches you the various treatment options available. The book is a great pain reliever in itself. The sensible, practical tips that it presents will surely help you bid good-bye to back pain forever.

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