Ankylosing Spondylitis

(1)

Department of Radiology-Neuroradiology, “San Paolo” Hospital, Bari, Italy

A 37-year-old patient
A family history of SpA
Dorsal and lumbar pain during the night for more than 2 years
Morning stiffness and limitation of motion of the spine in the frontal and lateral planes
Limitation of chest expansion

Fig. 1

X-ray of thoracic and lumbar spine. Lateral thoracic X-ray shows marginal anterior osteophytosis in the upper spine (a); lateral lumbar X-ray shows erosion of the anterior corner of L4 with a marginal osteophytosis and anterior syndesmophytosis L1–L2 (b)

Fig. 2

Sagittal TSE T1-weighted image (a) and sagittal TSE T2-weighted images with fat saturation (b–d). The images show low signal of the T5–T6 (a, arrows) endplates and a focal fat infiltration of the vertebral corners of the thoracic spine, with ankylosis of T6–T7 and T8–T9 (a), increased signal of T5–T6 endplates (b, arrows

Only gold members can continue reading. Log In or Register to continue