The Big Deal About AS | Fight The Fuse

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Ankylosing Spondylitis: What is the big deal?

Look carefully at these images. What do you see?

What is the big deal

This iconic imagery of the progressively bent person has long been associated with Ankylosing Spondylitis. Figure 3 represents a person with a fused spine.

How does the disease progress to fusion?

The long standing inflammation characteristic of Ankylosing Spondylitis may lead to increasing damage to the spinal bones over time and could ultimately result in fusion of the spinal bones or ‘ankylosis’.[1]

Increasing pain, stiffness and immobility are usually the signs of progressing disease.[2][3][4]

Process of Ankylosis

How is Ankylosing Spondylitis different from other arthritic diseases?

Other arthritic diseases (like rheumatoid arthritis) result in bone destruction, but Ankylosing Spondylitis involves both bone destruction and new bone formation which results in 'Fusion'.[5]

Keeping this in mind, the next step would be to ensure that the treatment for Ankylosing Spondylitis targets both bone erosion and bone formation. There are treatment options now available, which target both erosion and formation effectively and slow down fusion.

Ask your Rheumatologist for biologics that slow down spinal fusion.

You may want to read

Diagnosis of Ankylosing Spondylitis

Ask your Rheumatologist

References

  1. Lories RJU and Schett G. Rheum Dis Clin N Am 2012;38:555–567

  2. Sieper J, et al. Ann Rheum Dis 2002;61(Suppl III):iii8–iii18

  3. Arthritis and Ankylosing Spondylitis Available [Online] at: https://www.webmd.com/back-pain/guide/ankylosing-spondylitis#1 Accessed on 10 Dec 2018

  4. Gran JT, et al. British Journal of Rheumatology 1997;36:766-771

  5. Magrey MN and Khan MA. Curr Rheumatol Rep 2017;19:17

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