Ankylosing Spondylitis
Ankylosing spondylitis is an inflammatory disease characterized by pain along with stiffness of spine and involvement of joints between pelvic bones and spine called sacroiliac joints. Disease usually involves men in second or third decade of life. It is less severe in females. Disease may lead to total loss of spine movements by formation of new bone around spine joints and discs leading to so called “Bamboo Spine” appearance. Chest expansion is decreased .Hip, knee shoulder and elbow may be involved in about 30% of cases. In advanced cases there may be progressive bending of back or neck bones. In advanced cases of neck and back deformities, patient’s gaze is fixed on to the floor, patient is unable to look forward, there is compression of abdominal components, chronic neck and back pain .these deformities are tackled by cutting and removing a part of the bone from spine, straightening the spine and fixing it with rods and screws provided there is no problem around hip joints region. If hip joints are involved, deformities around hip joint is corrected first followed by correction of residual spinal spinal problem.
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