MRI scans in rheumatoid arthritis. MRI scans in rheumatoid arthritis. Left: mobile atlantoaxial subluxation. Note restriction of cord at craniocervical junction caused by subluxation of C1. This subluxation reduced in extension. Treatment was by C1/C2 screws (same patient as fig 3). Right: patient presenting with spastic quadraparesis. Note basilar impression with translocation of eroded body of C2 into foramen magnum. Treatment was by transoral decompression of C2 and posterior fusion. George P Malcolm J Neurol Neurosurg Psychiatry 2002;73:i34-i41 ©2002 by BMJ Publishing Group Ltd