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Related Experiment Videos

Bone mineral density in ankylosing spondylitis

A Sivri1, S Kilinc, Y Gokce-Kutsal

  • 1University of Hacettepe, Dept. of Physical Medicine and Rehabilitation, Ankara, Turkey.

Clinical Rheumatology
|January 1, 1996
PubMed
Summary

Ankylosing spondylitis (AS) patients frequently experience vertebral osteoporosis and fractures, impacting spinal health. Advanced disease showed higher bone density, but fracture prevalence was significant across stages.

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Area of Science:

  • Rheumatology
  • Orthopedics
  • Endocrinology

Background:

  • Vertebral osteoporosis and fractures are common, often unrecognized complications of ankylosing spondylitis (AS).
  • These conditions can contribute to spinal deformity and chronic back pain in AS patients.
  • Understanding bone density variations and fracture prevalence is crucial for managing AS.

Purpose of the Study:

  • To quantify vertebral and femoral neck bone mass in ankylosing spondylitis patients using dual photon absorptiometry.
  • To determine the prevalence of vertebral compression fractures in this cohort.
  • To investigate the correlation between bone mineral density (BMD) and disease severity in AS.

Main Methods:

  • Dual photon absorptiometry was employed to measure bone mineral density at the lumbar spine and femoral neck.

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  • Spinal radiographs were analyzed to identify and quantify vertebral compression and biconcave fractures.
  • Disease severity was assessed through clinical parameters, laboratory tests, disease duration, and sacroiliitis grading.
  • Main Results:

    • Lumbar spine bone mass was reduced in moderate AS compared to mild forms; however, patients with advanced disease exhibited the highest BMD values.
    • Spinal radiographs revealed compression or biconcave fractures in 40.9% of the studied cases.
    • No significant correlation was found between bone density and disease duration, sacroiliitis severity, or disease activity markers.

    Conclusions:

    • Despite varying bone density patterns, vertebral fractures are prevalent in ankylosing spondylitis patients.
    • Disease severity markers did not consistently predict bone density or fracture risk in this cohort.
    • Further research is warranted to elucidate the complex relationship between AS, osteoporosis, and fracture development.