1. The value of the sacroiliac joint area as a new morphological parameter of ankylosing spondylitis.
- Author
-
Bang, Yun-Sic, Hwang, He, Bae, Hanwool, Choi, Young-Soon, Lim, Youngsu, Yi, Jungmin, Kim, Hyunhae, Su, Min-Ying, and Kim, Young
- Subjects
Humans ,Sacroiliac Joint ,Spondylitis ,Ankylosing ,Sacrum ,Ilium - Abstract
A narrowed sacroiliac joint (SIJ) space has been considered to be a major morphologic parameter of ankylosing spondylitis (AS). Previous studies revealed that the sacroiliac joint thickness (SIJT) correlated with AS in patients. However, irregular narrowing is different from thickness. Thus, we devised a method using the sacroiliac joint cross-sectional area (SIJA) as a new morphological parameter for use in evaluating AS. We hypothesized that the SIJA is a key morphologic parameter in diagnosing AS. SIJ samples were collected from 107 patients with AS, and from 85 control subjects who underwent SIJ-view X-rays that revealed no evidence of AS. We measured the SIJT and SIJA at the SIJ margin on X-rays using our picture archiving and communications system. The SIJT was measured at the narrowest point between the sacrum and the ilium. The SIJA was measured as the entire cross-sectional joint space area of the SIJ in the X-ray images. The average SIJT was 3.09 ± 0.61 mm in the control group, and 1.59 ± 0.52 mm in the AS group. The average SIJA was 166.74 ± 39.98 mm2 in the control group, and 68.65 ± 24.11 mm2 in the AS group. AS patients had significantly lower SIJT (P
- Published
- 2022