ankylosing Spondylitis LP 5 Flashcards
what is ankylosing spondylitis?
progressive condition of the axial skeleton presenting as pain and stiffness in the spine leading to bony ankylosis of the sacroiliac and spinal joints
where on the axial skeleton does inflammation occur?
where ligaments insert onto bone rather then synovium
can ankylosing spondylitis lead to synovitis?
yes
who is more likely to have severe cases of spondylitis?
men
what is the most common type of spondylitis?
marie-stumpell type
what is the Marie stumpell ankylosing spondylitis?
begins in the sacroiliac and in the lumbar region to eventually progress up the spine
is muscle wasting and neurological symptoms common with Marie stumpell ankylosing spondylitis?
yes
muscle wasting can be prevented
which type of ankylosing spondylitis is rare?
bechterew type
what is bechterew ankylosing spondylitis?
begins in the cervical spine and spreads downwards
where are women more likely to develop ankylosing spondylitis first?
in the cervical spine
what causes ankylosing spondylitis?
idiopathic ( 30 times more common in those with a family history )
is ankylosing spondylitis autoimmune ?
yes
what genetic marker is seen in clients with ankylosing spondylitis?
HLA-B27
what’s the most common presentation of ankylosing spondylitis?
inflammation, periosteum and synovium of the SI joint or lumbar spine
what does ossification of the annuls fibrosis lead too?
bony ridges at the periphery of the intervertebral joints
what’s another name for ankylosing spondylitis?
bamboo spine
what structure are effected with ankylosing spondylitis?
si
symphysis pubis
lumbar spine
thoracic
cervical
costovertrbral joints
manubriosternal junction
what are some clinical presentations of ankylosing spondylitis?
stiffness of spine
fatigue
si / lumbar pain
pain at rest
morning stiffness
movement helps sleep
forward flexed posture etc
what is a result from spinal cord compression with ankylosing spondylitis?
true sciatic pain
would you pillow someone who is recently diagnosed with ankylosing spondylitis?
no