Ankylosing spondylitis surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is not the first-line treatment option for patients with ankylosing spondylitis.Surgical options, such as [[knee replacement|knee]] and [[hip replacement]]s, can be an option for patients with ankylosing spondylitis. Surgical correction is also possible for those with severe [[flexion]] deformities, such as a severe downward curvature of the [[spine]]. | Surgery is not the first-line treatment option for patients with ankylosing spondylitis.Surgical options, such as [[knee replacement|knee]] and [[hip replacement]]s, can be an option for patients with ankylosing spondylitis. Surgical correction is also possible for those with severe [[flexion]] deformities, such as a severe downward curvature of the [[spine]]. | ||
==Surgery== | ==Surgery== | ||
* Surgery is not the first-line treatment option for patients with ankylosing spondylitis. Surgery is usually reserved for selected patients with ankylosing spondylitis. | |||
===== Total hip arthroplasty(THA)<ref name="pmid196053742">{{cite journal |vauthors=Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, Boonen A, Vazquez-Mellado J, Flores D, Vastesaeger N, Collantes E |title=Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery |journal=Rheumatology (Oxford) |volume=49 |issue=1 |pages=73–81 |date=January 2010 |pmid=19605374 |doi=10.1093/rheumatology/kep174 |url=}}</ref> ===== | |||
* Hip involvement is seen more common in ankylosing spondylitis patients with early onset of disease. | |||
* Total hip arthroplasty(THA) surgery is usually reserved for patients with either:<ref name="pmid19605374">{{cite journal |vauthors=Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, Boonen A, Vazquez-Mellado J, Flores D, Vastesaeger N, Collantes E |title=Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery |journal=Rheumatology (Oxford) |volume=49 |issue=1 |pages=73–81 |date=January 2010 |pmid=19605374 |doi=10.1093/rheumatology/kep174 |url=}}</ref> | |||
** Severe and persistent pain that does not respond to drugs. | |||
** Severe limitation in mobility of affected joint. | |||
** Decreased quality of life due to hip involvement. | |||
==References== | ==References== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery is not the first-line treatment option for patients with ankylosing spondylitis.Surgical options, such as knee and hip replacements, can be an option for patients with ankylosing spondylitis. Surgical correction is also possible for those with severe flexion deformities, such as a severe downward curvature of the spine.
Surgery
- Surgery is not the first-line treatment option for patients with ankylosing spondylitis. Surgery is usually reserved for selected patients with ankylosing spondylitis.
Total hip arthroplasty(THA)[1]
- Hip involvement is seen more common in ankylosing spondylitis patients with early onset of disease.
- Total hip arthroplasty(THA) surgery is usually reserved for patients with either:[2]
- Severe and persistent pain that does not respond to drugs.
- Severe limitation in mobility of affected joint.
- Decreased quality of life due to hip involvement.
References
- ↑ Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, Boonen A, Vazquez-Mellado J, Flores D, Vastesaeger N, Collantes E (January 2010). "Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery". Rheumatology (Oxford). 49 (1): 73–81. doi:10.1093/rheumatology/kep174. PMID 19605374.
- ↑ Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, Boonen A, Vazquez-Mellado J, Flores D, Vastesaeger N, Collantes E (January 2010). "Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery". Rheumatology (Oxford). 49 (1): 73–81. doi:10.1093/rheumatology/kep174. PMID 19605374.