We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Radiologic Changes in the Symphysis Pubis of Male Patients with Ankylosing Spondylitis.
- Authors
Bon San Koo; Yoonah Song; Kyung Bin Joo; Seunghun Lee; Tae-Hwan Kim; Koo, Bon San; Song, Yoonah; Joo, Kyung Bin; Lee, Seunghun; Kim, Tae-Hwan
- Abstract
<bold>Objective: </bold>We aimed to evaluate the involvement of the symphysis pubis in patients with ankylosing spondylitis (AS), and to assess the correlations between symphysis pubis changes and clinical findings.<bold>Methods: </bold>We retrospectively evaluated a total of 222 male patients with AS who underwent pelvic and cervical/lumbar spine radiography at the Hanyang University Hospital for Rheumatic Diseases from August 2004 to February 2014. Radiographs were examined by 2 experienced radiologists, and radiographic damage was scored as follows: 0 (no damage), 1 (subtle irregularity and/or subchondral sclerosis), 2 (erosion), 3 (partial ankylosis), and 4 (total ankylosis). We evaluated the patients' clinical characteristics and analyzed their correlations with radiographic symphysis pubis changes.<bold>Results: </bold>The mean patient age was 30.5 ± 8.3 years and mean disease duration was 7.1 ± 4.6 years; 105 patients (47.3%) exhibited radiologic damage in the symphysis pubis. Moreover, 75, 28, 0, and 2 patients had scores of 1, 2, 3, and 4, respectively. When comparing the normal (score 0) and abnormal (score 1-4) symphysis pubis groups, the latter had a longer symptom duration (10.1 ± 7.0 vs 7.6 ± 5.8 yrs, p = 0.004) and higher modified Stoke Ankylosing Spondylitis Spine Score (mSASSS; 18.6 ± 17.0 vs. 14.3 ± 13.4, p = 0.038). Moreover, a significant correlation was noted between the radiographic symphysis pubis damage score and mSASSS (r(2) = 0.147, p = 0.029).<bold>Conclusion: </bold>Among male patients with AS, 47.3% exhibited symphysis pubis involvement. Moreover, a correlation was observed between the radiographic symphysis pubis and spine changes.
- Publication
Journal of Rheumatology, 2016, Vol 43, Issue 2, p330
- ISSN
0315-162X
- Publication type
journal article
- DOI
10.3899/jrheum.150711