This patient is a 70-year-old woman with RA and scoliosis with a 24-year history of RA. Progression of scoliosis and changes of radiological findings were evaluated between 2005 and 2008. The radiographs taken in 2005 (left panels) and 2008 (right panels) are shown. The lines in the anteroposterior views (upper panels) indicate the upper and lower tilting vertebrae. The arrows of both anteroposterior and lateral (lower panels) views indicate progression of disc space narrowing and endplate destruction.