J Korean Orthop Assoc.  2021 Aug;56(4):294-304. 10.4055/jkoa.2021.56.4.294.

Treatment of Ankylosing Spondylitis

Affiliations
  • 1Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea
  • 2Hanyang Research Institute of Rheumatic Disease, Seoul, Korea

Abstract

Ankylosing spondylitis causes ankylosis of the spine due to ossification of the articular cartilage and ligaments around the vertebral body as well as the sacroiliac joint. This pathophysiology limits joint movement and, in many cases, causes pain and deformity of the spine. If this disease is left untreated, it ultimately causes ankylosis and ossification of the whole-body joints. The symptoms generally develop before age 30 years, and the gradual progression of the disease adversely affects the physical function, professional ability, and quality of life. This increases the likelihood of developing psychiatric disorders, such as depression. The authors are aware of this severity and introduce recent trends and studies to prevent surgical treatment with various medications before systemic ossification. This paper presents various surgical treatments and complications in patients who were unable to prevent progression and underwent surgical treatment.

Keyword

ankylosing spondylitis; medical treatment; surgical treatment
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