Rheumatoid disease in the cervical spine can occur with neck pain, radiculopathy, or myelopathy, although it often can be asymptomatic, particularly at the onset. The disease affects the C1-2 articulation most frequently, also causing basilar invagination and subaxial subluxation.
¹Abitbol MD, Jean-Jacques. Orthopaedic Knowledge Update: Spine. Rosemont: American Academy of Orthopaedic Surgeons, 2002.