Treatment of Patient with Rheumatoid Arthritis and Neck Pain

Does a cervical spine X-ray show instability?

Does a cervical spine X-ray show upward translocation?

Does the patient have intractable neck pain?

Does the patient have vertigo, cranial nerve deficit or transient unconsciousness?

Does the patient have subjective weakness with hyperreflexia and dysesthesia?

Does the patient have objective weakness and long-track signs?

Does the patient have other significant neurologic findings?

Arch to pedicle distance