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Patients in Norway with rheumatoid arthritis (RA) and involvement of the cervical column with subluxations during the years 1974-1999 were routinely referred to the Rheumasurgical Department of Oslo Sanitetsforening’s Rheumatism Hospital in Oslo (OSR) for critical evaluation, treatment and follow-up. The patients were recruited from a large and widely dispersed area of the country. The primary aim of the current study was to assess the mortality rate of operated patients with cervical neurological symptoms or signs in this cohort and compare the results with RA patients operated during the same period for cervical involvement without relevant neurology. Secondarily we wanted to disclose important factors affecting the mortality rate in operated RA patients with neurology. The results for the total RA population with cervical subluxations (n=532) treated during the same 25 year period (217 operated and 315 non-operated) have been published previously (Paus et al., 2008).

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Increased Mortality Rate in Rheumatoid Arthritis Patients with Neurological Symptoms or Signs Secondary to Cervical Spine Subluxations – Reduced Mortality if Postoperative Ankylosis is Achieved