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Arthritis and Rheumatism

Spondylitis

03/23/2000

Question:

My mother was recently diagnosed with spondylitis. The doctor mentioned that surgery might be needed. What is spondylitis? What are her chances of a full recovery if she needs surgery?

Answer:

Spondylitis is a chronic inflammatory disease involving the spine. It is accompanied by sacroiliac joint disease which is localized approximately in the buttocks area and this is called `sacroiliitis`. It is part of a disease called `Ankylosing Spondylitis` or part of similar conditions of the spine which accompany Inflammatory Bowel Disease, Psoriasis and Reactive Arthritis (arthritis reactive to previous infections in urine or bowels). When the disease is advanced the spine becomes fused and the patient does not have movement left in his/her back. Aggressive physical therapy and posture education are very important to prevent or delay that.

There are two complications that require surgery in spondylitis: 1) for the neck spine (cervical spine), when it is involved, and subluxation of vertebrae occurs, so the spine is not stable 2) for the lower spine (dorso-lumbar) to improve posture

Sometimes surgery is also indicated when the posture of a fixed spondylitic spine is so badly bent as to even limit vision.

In experienced hands the surgeries are very successful.

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Response by:

University of Cincinnati Yolanda Farhey, MD
Associate Professor
Division of Immunology and Allergy
Department of Internal Medicine
College of Medicine
University of Cincinnati
Yolanda   Farhey, MD