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AB0720 The Characteristics of Andersson Lesions (Spondylodiscitis) Based on Whole Spine Magnetic Resonance Imaging in Ankylosing Spondylitis
  1. S.-K. Kim1,
  2. K. Shin2,
  3. Y. Song3,
  4. S. Lee3,
  5. T.-H. Kim4
  1. 1Division of Rheumatology, Department of Internal Medicine, Arthritis and Autoimmunity Research Center, Catholic University of Daegu School of Medicine, Daegu
  2. 2Division of Rheumatology, Department of Internal Medicine, Seoul National University College of Medicine
  3. 3Department of Radiology
  4. 4Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea, Republic Of

Abstract

Background Andresson lesions could cause debilitating pain and functional impairment in ankylosing spondylitis (AS) patients.

Objectives The objective of this study was to identify the characteristics of Andersson lesions using whole spine magnetic resonance imaging (MRI) in AS.

Methods A total of 62 patients with AS who had taken whole spine MRI were retrospectively enrolled in this study. Regional distribution in the entire spine and within the individual discovertebral unit (DVU) including the central, peripheral, and diffuse disc types of Andersson lesion was assessed. We compared the number of DVUs with Andersson lesion with clinical and radiographic indicies such as erythrocyte sediment rate (ESR), C-reactive protein (CRP), BASDAI, BASFI, and modified Stoke Ankylosing Spondylitis Spine Score (mSASSS).

Results Fifty-three patients (85.5%) had at least one Andersson lesion. We found a total of 129 DVUs with Andesson lesions (9.0%) in the entire spine levels. Andersson lesion at the lower thoracic spine (from T7–8 to T12-L1) was most commonly detected than other spine levels. Among the total 151 Andersson lesions, 41 lesions were identified at the central, 26 lesions at the anterior peripheral, 44 lesions at the posterior peripheral, and 40 lesions at the diffuse disc types. However, the number of Andersson lesions did not correlate with ESR, CRP, BASDAI, BASFI, and mSASSS in AS patients (p>0.05 of all).

Conclusions Our study indicates that presence of Andersson lesion in AS patients is clearly underestimated. MRI provides more increased opportunity to detect earlier Andersson lesions than conventional radiography.

  1. Park YS, Kim JH, Ryu JA, Kim TH. The Andersson lesion in ankylosing spondylitis: distinguishing between the inflammatory and traumatic subtypes. J Bone Joint Surg Br 2011;93:961–6.

  2. de Vries MK, van Drumpt AS, van Royen BJ, van Denderen JC, Manoliu RA, van der Horst-Bruinsma IE. Discovertebral (Andersson) lesions in severe ankylosing spondylitis: a study using MRI and conventional radiography. Clin Rheumatol 2010;29:1433–8.

  3. Kabasakal Y, Garrett SL, Calin A. The epidemiology of spondylodiscitis in ankylosing spondylitis - a controlled study. Br J Rheumatol 1996;35:660–3.

Disclosure of Interest None declared

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