Question mark posture
Loss of lumber lordosis
Restriction of the spinal movement in all directions
Heel-occipit-hip test is positive
Schober’s test is positive
Ask about Hx of:
Back pain which increase with rest or prolong immobility, and improve with exercise
Heel pain (achellis tendonitis, planter faciitis)
Reduce Chest expansion and apical fibrosis
Eyes for iritis
Heart for AR
What are the clinical features?
What are the criteria for diagnosis?
Clinical: limited movement of the spine in the 3 planes
Pain in the lumber spine
Chest expansion <2.5
Radiological: uni/bilateral sacroilitis
What are the Ix?
X-ray of the spine: loss of lumber lordosis
Squiring of the vertebra
Bamboo spine (calcification of ligaments,
Fusion of the spinal facets,
X-ray sacroiliac joint
What are the lines of management?
Spinal surgery (vertebral wedge oesteotomy)