ANKYLOSING SPONDYLITIS: CLINICAL AND RADIOLOGICAL ASSESSMENT OF VERTEBRAL DEFORMITES AND DISCAL LESIONS
Amany Farid Mohammed;
Abstract
Objective: To study the prevalence of deformities of vertebrae and inter-vertebral discs in the patients with Ankylosing Spondylitis (AS) with the usage of the Stocke Ankylosing Spondylitis Spine Score (SASSS) in relation to clinical measurements and laboratory findings.
Methods: Altogether 30 male patients with AS were studied. Reading of spinal radiographs was undertaken, scoring for severity, syndesmophyte formation, ligamentous calcification, squaring and discal lesions, the usage of (SASSS) and the correlation of (SASSS) with the clinical measurements (chest expansion, Occiput to Wall Distance (OWD), Finger to Floor Distance (FFD) and Modified Schober's Test (MST), Functional Index (FI), Stocke Enthesities Index (SEI) and laboratory findings (ESR & CRP).
Results: Syndesmophyte formation was detected in I 0 patients (33.3%), ligamentous calcifications were detected in 6 patients (20%), squaring of vertebral bodies was detected in 18 patients (60%) and discal lesions were detected in 5 patients (16.7%). The SASSS was significantly correlated with chest expansion, OWD, FFD & MST but there was no significant relationship between the final radiological scores and syndesmophyte formation and ESR.
Conclusion: The SASSS is a useful, valid score, which correlates with some clinical outcome measures.
Key words: Ankylosing Spondylitis Radiology Disc narrowing Vertebral deformity Occiput to wall distance Functional Index Spondylodiscitis.
Methods: Altogether 30 male patients with AS were studied. Reading of spinal radiographs was undertaken, scoring for severity, syndesmophyte formation, ligamentous calcification, squaring and discal lesions, the usage of (SASSS) and the correlation of (SASSS) with the clinical measurements (chest expansion, Occiput to Wall Distance (OWD), Finger to Floor Distance (FFD) and Modified Schober's Test (MST), Functional Index (FI), Stocke Enthesities Index (SEI) and laboratory findings (ESR & CRP).
Results: Syndesmophyte formation was detected in I 0 patients (33.3%), ligamentous calcifications were detected in 6 patients (20%), squaring of vertebral bodies was detected in 18 patients (60%) and discal lesions were detected in 5 patients (16.7%). The SASSS was significantly correlated with chest expansion, OWD, FFD & MST but there was no significant relationship between the final radiological scores and syndesmophyte formation and ESR.
Conclusion: The SASSS is a useful, valid score, which correlates with some clinical outcome measures.
Key words: Ankylosing Spondylitis Radiology Disc narrowing Vertebral deformity Occiput to wall distance Functional Index Spondylodiscitis.
Other data
| Title | ANKYLOSING SPONDYLITIS: CLINICAL AND RADIOLOGICAL ASSESSMENT OF VERTEBRAL DEFORMITES AND DISCAL LESIONS | Other Titles | التضمن الاكلينيكى والاشعاعى للفقرات والغضاريف فى حالات تيبس العمود الفقرى المفصلى | Authors | Amany Farid Mohammed | Issue Date | 2003 |
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