Rheumatoid Arthritis Cervical Spine | Medical Algorithm

Evaluation

Are you evaluating the upper cervical spine in a patient with rheumatoid arthritis?

Yes

Atlanto-axial subluxation

Subaxial subluxation(enter from 0 to 100)

percent

Superior migration of the odontoid process(a negative number indicates C2 pedicles above the C1 line)

Does the patient have?

• hyperreflexia?

Yes

• dysesthesias?

Yes

• posterior column deficits?

Yes

Select an appropriate answer for each finding

Weakness

Pain

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of Grade I findings

Number of Grade II findings

Number of Grade III findings

Maximum grade of cervical spine involvement

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications

Therapy

Prevention

Monitoring

Response To Therapy
Disease Progression
Comorbid Conditions
- DAS Scores Using C-Reactive Protein (DAS CRP)
- Rheumatoid Meningitis

Specialty

Immunology/Rheumatology

Objective

criteria for diagnosis
severity
prognosis
stage
response to therapy
disease progression
comorbid conditions

ICD-10

M05 - Seropositive rheumatoid arthritis
M06 - Other rheumatoid arthritis
M48.0 - Spinal stenosis

Classification for Rheumatoid Arthritis Affecting Cervical Spine

Purpose: To classify involvement of the upper cervical spine in a patient with rheumatoid arthritis using the classification of Pellicci et al.