Rehabilitation and surgical management of ankylosing spondylitis

被引:9
作者
Lubrano E. [1 ]
Astorri D. [1 ]
Taddeo M. [1 ]
Salzmann A. [1 ]
Cesarano E. [2 ]
Brunese L. [3 ]
Giganti M. [4 ]
Spadaro A. [5 ]
机构
[1] Academic Rheumatology Unit, Department of Medicine and Health Sciences, University of Molise, Campobasso
[2] Radiology Section, Health Service, Navy Command of Brindisi, Brindisi
[3] Academic Radiology Unit, Department of Medicine and Health Sciences, University of Molise, Campobasso
[4] Dipartimento di Scienze Chirurgiche, University of Ferrara, Ferrara
[5] UOC di Reumatologia, Dipartimento di Medicina Interna e Specialità Mediche, Sapienza - Università di Roma, Rome
关键词
Ankylosing spondylitis; Rehabilitation; Surgery;
D O I
10.1007/s12306-013-0285-9
中图分类号
学科分类号
摘要
Ankylosing spondylitis (AS) is a chronic inflammatory disease which, if untreated, may progress to severe damage of the spine with functional impairment, disability and poor quality of life. An increased mortality has been reported in AS patients compared to the general population. AS requires combined management (pharmacological and non-pharmacological) and advice by different health professionals. Even the pharmacological treatment in the last decade has dramatically changed the outcome, the severity of the disease might require a surgical approach for the hip involvement with total hip replacement, or the corrective spinal surgery. However, this surgery deserves some careful approaches since the complexity of the disease. Rehabilitation still represents a cornerstone of the global management of AS patients. The present review summarizes the state of art of surgical management of these two diseases. © 2013 Istituto Ortopedico Rizzoli.
引用
收藏
页码:S191 / S195
页数:4
相关论文
共 55 条
[1]  
Sieper J., Braun J., Rudwaleit M., Boonen A., Zink A., Ankylosing spondylitis: An overview, Ann Rheum Dis, 61, SUPPL. III, (2002)
[2]  
Bakland G., Gran J.T., Nossent J.C., Increased mortality in ankylosing spondylitis is related to disease activity, Ann Rheum Dis, 70, pp. 1921-1925, (2011)
[3]  
Lawrence J.S., Sladden R.J., The value of physiotherapy in rheumatic diseases. I. Pallation, Am Phys Med, 2, 8, pp. 282-289, (1955)
[4]  
Zochling J., Van Der Heijde D., Burgos Vargas R., Collantes E., Davis Jr.J.C., Dijkmans B., Et al., ASAS/EULAR recommendations for the management of ankylosing spondylitis, Ann Rheum Dis, 65, 4, pp. 442-452, (2006)
[5]  
Lubrano E., Helliwell P., Deterioration in anthropometric measures over six years in patients with ankylosing spondylitis. An initial comparison with disease duration and reported exercise frequency, Physiotherapy, 85, pp. 138-143, (1999)
[6]  
Lubrano E., D'Angelo S., Parsons W.J., Et al., Effectiveness of rehabilitation in active ankylosing spondylitis assessed by the ASAS response criteria, Rheumatology, 46, pp. 1672-1675, (2007)
[7]  
Lubrano E., D'Angelo S., Spadaro A., Palazzi C., Olivieri I., Rehabilitation for ankylosing spondylitis in the era of biologics: Any room left for this treatment?, J Rheumatol, 38, 7, pp. 1228-1230, (2011)
[8]  
Lubrano E., D'Angelo S., Parsons W.J., Et al., Effects of a combination treatment of an intensive rehabilitation program and etanercept in patients with ankylosing spondylitis: A pilot study, J Rheumatol, 33, 10, pp. 2029-2034, (2006)
[9]  
Spadaro A., De Luca T., Massimiani M.P., Ceccarelli F., Riccieri V., Valesini G., Occupational therapy in ankylosing spondylitis: Short term prospective study in patients treated with anti TNF alpha drugs, Joint Bone Spine, 75, pp. 29-33, (2008)
[10]  
Cooksey R., Brophy S., Husain M.J., Irvine E., Davies H., Siebert S., The information needs of people living with ankylosing spondylitis: A questionnaire survey, BMC Musculoskelet Disord, 13, (2012)