Imaging the spine in arthritis-a pictorial review.

Insights Into Imaging
Anne Grethe Jurik

Abstract

Spinal involvement is frequent in rheumatoid arthritis (RA) and seronegative spondyloarthritides (SpA), and its diagnosis is important. Thus, MRI and CT are increasingly used, although radiography is the recommended initial examination. The purpose of this review is to present the typical radiographic features of spinal changes in RA and SpA in addition to the advantages of MRI and CT, respectively. RA changes are usually located in the cervical spine and can result in serious joint instability. Subluxation is diagnosed by radiography, but supplementary MRI and/or CT is always indicated to visualise the spinal cord and canal in patients with vertical subluxation, neck pain and/or neurological symptoms. SpA may involve all parts of the spine. Ankylosing spondylitis is the most frequent form of SpA and has rather characteristic radiographic features. In early stages it is characterised by vertebral squaring and condensation of vertebral corners, in later stages by slim ossifications between vertebral bodies, vertebral fusion, arthritis/ankylosis of apophyseal joints and ligamentous ossification causing spinal stiffness. The imaging features of the other forms of SpA can vary, but voluminous paravertebral ossifications often occur...Continue Reading

References

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Citations

May 3, 2014·BMJ Case Reports·Tom Edward Ngo LoMichael L Tee
Jan 22, 2014·Seminars in Arthritis and Rheumatism·Maria Del GrandeGrant H Louie
Feb 26, 2016·Radiología·J A NarváezJ J Sánchez-Fernández
Apr 3, 2016·Best Practice & Research. Clinical Anaesthesiology·Ehab Farag
May 23, 2016·Skeletal Radiology·Theodoros SoldatosAvneesh Chhabra
Apr 24, 2018·Journal of Forensic Sciences·Lucie Biehler-Gomez, Cristina Cattaneo
May 7, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Matthew R SkalskiWende N Gibbs
Oct 8, 2020·Arthritis Research & Therapy·Eleni Christodoulou-VafeiadouGeorge Kollias
Apr 24, 2020·Journal of Orthopaedics·G AlmeerR Botchu

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