Ankylosing spondylitis

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Ankylosing spondylitis. Back pain. Restricted hip movement.

Patient Data

Age: 65 years
Gender: Male
x-ray

Bamboo spine in the lumbar spine.

Squaring of the L3 and L2 and L3 vertebral bodies with the shiny corner sign of reactive sclerosis. Ossification of the interspinous ligament.

Fusion of both sacroliaic joints.

x-ray

Complete fusion of both sacroiliac joints.

Case Discussion

Many of the typical signs of ankylosing spondylitis are illustrated in this patient.

Thanks to Dr Heather Harris, Chesterfield Royal Hospital, UK.

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