Abozaid HSM, El-din Hassan RA, Elmadany WA, Ismail MA, Elgendy DS, Elsayed SA, Gamal RM, Daifallah OS, Abu Alfadl EM. Is It the Age at Disease Onset or the Disease Radiological Severity That Affects Cervical Spine Involvement in Patients With Rheumatoid Arthritis?
CLINICAL MEDICINE INSIGHTS-ARTHRITIS AND MUSCULOSKELETAL DISORDERS 2018;
11:1179544118759688. [PMID:
35140540 PMCID:
PMC8819744 DOI:
10.1177/1179544118759688]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2017] [Accepted: 01/25/2018] [Indexed: 11/25/2022]
Abstract
Background:
Cervical spine involvement in patients with rheumatoid arthritis (RA) can
cause pain and disability, with a variety of neurologic signs and
symptoms.
Objectives:
To investigate the relationship between structural cervical spine involvement
in patients with RA with the age at disease onset and the degree of
radiologic severity of RA measured by Larsen scoring.
Patients and methods:
This cross-sectional study included 50 adult patients with RA. Patients who
complained or not complained from symptoms of cervical spine involvement in
RA were included; we did X-ray of the cervical spine, hands, and feet;
Larsen scoring method; disease activity score (DAS28); and Neck Disability
Index.
Results:
The results revealed that patients with cervical involvement tend to be
younger at their disease onset than those with no cervical involvement, as
detected by cervical X-ray. The relation was significant
P < .05 regarding all cervical involvements except for
basilar invagination. Disease radiological severity (measured by Larsen
score) significantly increases the risk for subaxial subluxation,
P = .040. All other cervical complications of RA tend
to have nonsignificant relation with disease severity. Using univariate
binary regression analysis for risk factors for cervical involvement showed
that the only probable risk factor for cervical involvement (detected by
X-ray) in patients with RA is age at disease onset.
Conclusions:
The early age at disease onset tends to affect cervical spine involvement in
patients with RA more than the disease radiological severity.
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