Ankylosing spondylitis surgery
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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][2]
- 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:[3]
- 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.
- ↑ Chen HA, Chen CH, Liao HT, Lin YJ, Chen PC, Chen WS, Chou CT (June 2011). "Factors associated with radiographic spinal involvement and hip involvement in ankylosing spondylitis". Semin. Arthritis Rheum. 40 (6): 552–8. doi:10.1016/j.semarthrit.2010.07.008. PMID 20870274.
- ↑ 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.