Abstract
The relationship between clinical symptoms and AAS, VS in rheumatoid arthritis were investigated. AAS/VS was reported in 29 of 63 RA patients. The sensitivity of the clinical symptoms (headache, neck pain, cervical noise, shoulder stiffness, neurological deficits) was low due to the existence of asymptomatic AAS/VS. Therefore, we concluded that clinical symptoms were not useful for diagnosing AAS/VS in RA patients, and we should be aware of the existence of asymptomatically progressive cervical change in RA.