RA fulfilling the criteria of the american college of rheumatology (ACR) (revised 1987)
18 years and older
Cervical pain
Recent MRI with detectable atlanto-axial pannus
You may not be if
Use of TNF-inhibitors 3 months prior to inclusion
Previous treatment with any biologics other than TNF-Blockers
History of inflammatory joint disease other than RA
History of active tuberculosis, histoplasmosis or listeriosis
History of lymphoma or other malignancies within 5 years
Contraindication for the use of TNF inhibitors
Comorbidities: severe myocardial dysfunction, recent stroke (within 3 months), uncontrolled diabetes and other disease which in the opinion of the investigator, would put the subject at risk by participation in the trial
