There are 4 sites in the posterior spine to assess for changes of AS.
- Facet Joints.
- Interspinous Ligament.
- Costovertebral joints.
- Costo transverse joints.
Changes can be at 1 or more of these sites.
- Spinal changes start anteriorly and progress posteriorly.
- All the examples are from chronic AS where bony fusion has occurred.
- But these are also the areas to look at on MRI for the earlier changes of enthesitis and inflammation.
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We look at all of these topics in more detail in our SPINE MRI Mini Fellowships.
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