SA Journal of Radiology

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Bamboo spine – X-ray findings of ankylosing spondylitis revisited

A Reinders, MJ van Wyk


Ankylosing spondylitis is a debilitating disease that is one of the seronegative
spondylarthropathies, affecting more males than females in the proportion of about 6:1 in the age group 15 - 35 years of age. Early radiographic findings include bilateral sacro-iliitis and early axial (lower lumbar spine) ankylosis. Typical X-ray findings are florid spondylitis (Romanus lesions), florid diskitis (Andersson lesions), early axial ankylosis, enthesitis, syndesmophytes and insufficiency fractures. Typical radiological abnormalities are pointed out on
conventional X-rays and reviewed for early diagnosis and prompt treatment of patients at risk.

AJOL African Journals Online