类风湿关节炎(Rheumatoid Arthritis,RA)是以关节滑膜炎为主要表现的慢性自身免疫性疾病,颈椎是RA第2个最容易侵犯的区域[1],初期主要表现为滑膜炎侵犯颈椎,引起关节囊、韧带结构破坏及颈椎关节不稳,后期出现严重的力学上的退变,并可能导致脊髓、神经受压,引起一系列并发症。有10%~85%的RA患者有颈痛及影像学上颈椎不稳的表现,10%~ Rheumatoid Arthritis (RA) is a chronic autoimmune disease mainly characterized by synovitis of the knee. The cervical vertebra is the second most inflamed area of ​​RA [1]. The initial manifestation is the invasion of cervical spondylosis by synovitis , Causing joint capsule, ligament structure damage and instability of cervical joint, late severe mechanical degeneration, and may lead to spinal cord, nerve compression, causing a series of complications. 10% ~ 85% of RA patients have neck pain and imaging instability of the cervical spine, 10% ~