Cervical spondylosis, stenosis, and rheumatoid arthritis.

The majority of patients with rheumatoid arthritis involving the cervical spine can be managed non-operatively. These patients should be monitored closely by the treating physician for the development of neurologic symptoms or subluxation on radiographs. Non-surgical treatment in the majority of patients has a definite role. Several studies now suggest early surgical intervention in patients with progressive instability and neurologic deficit is indicated to prevent significant morbidity and mortality in these patients.