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Related Experiment Videos

Radiologic changes of cervical spine in ankylosing spondylitis.

H S Lee1, T H Kim, H R Yun

  • 1Hospital for Rheumatic Disease, Hanyang University, Seoul, Korea.

Clinical Rheumatology
|September 1, 2001
PubMed
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Radiographic changes in the cervical spine are common in ankylosing spondylitis (AS), affecting nearly half of patients. These changes correlate with disease duration, age, and symptoms, highlighting the importance of monitoring the cervical spine in AS management.

Area of Science:

  • Rheumatology
  • Radiology
  • Orthopedics

Background:

  • Ankylosing spondylitis (AS) primarily affects the axial skeleton.
  • The cervical spine is frequently involved in the disease process, leading to potential complications.
  • Assessing the extent and correlation of cervical spine changes is crucial for patient management.

Purpose of the Study:

  • To determine the frequency of radiologic changes in the cervical spine of AS patients.
  • To correlate these radiographic findings with clinical variables and demographic data.
  • To evaluate the utility of the Bath Ankylosing Spondylitis Radiology Index (BASRI) for cervical spine assessment.

Main Methods:

  • Retrospective analysis of cervical spine radiography (anteroposterior and lateral full-flexion views) in 181 AS patients.

Related Experiment Videos

  • Detailed radiologic assessment of cervical spine compartments and grading using the BASRI system.
  • Correlation of radiographic findings with clinical data including age, disease duration, and symptoms.

    • Main Results:

    • 48.6% of patients exhibited cervical spine radiologic changes, involving discovertebral, apophyseal, atlantoaxial joints, costovertebral joints, and posterior ligamentous attachments.
    • The BASRI system identified radiologic changes in 40.3% of patients.
    • Cervical spine changes were associated with older age, longer disease duration, inflammatory back pain, and cervical symptoms.

    Conclusions:

    • Radiographic changes in the cervical spine are a frequent occurrence in ankylosing spondylitis.
    • The BASRI scoring system effectively reflects cervical spine involvement and correlates with lumbar spine and hip joint scores.
    • Early identification and monitoring of cervical spine changes are vital for patients with AS, particularly those with prolonged disease and specific symptoms.