Spinal deformity correction in ankylosing spondylitis.

BACKGROUND

Ankylosing spondylitis (AS) is a complex, debilitating disease with few available medical therapies in its later stages.

METHODS

We reviewed current clinical approaches for caring for AS patients with an emphasis on the risks and outcomes associated with surgical intervention.

RESULTS

It is critical to understand the natural history and surgical outcomes of patient with AS. Surgery is not without risks, as a vertebral body osteotomy is often required to re-establish spinopelvic equilibrium. However, surgery can lead to clinical improvements in pain, disability, cardiac function, respiration, digestion, and sexual activity.

CONCLUSION

Deformity correction for AS should be carefully considered in symptomatic patients.