Spondylitis is an inflammation of the intervertebral joints. More often spondylitis associated with infectious nonspecific polyarthritis ("infestation"), rarely with brucellosis, dysentery, syphilis infections. Defeat multiple (lumbar, cervical, thoracic spine). Brucellosis and dysenteric spondylitis often begin rapidly, accompanied by rise of temperature. Spondylitis when invectordata may be preceded by: an infection, cooling, trauma, stress. Beginning of the disease may be acute, subacute. Spondylitis can start and imperceptibly. You receive the limited mobility of the spine in the morning, sometimes low grade fever, anemia, accelerated ROHE. Spondylitis is characterized by pain in the spine, aggravated by a sharp movements, increasing the stiffness of the spine. The diagnosis of the disease is based on clinical, history, reactions that occur in invectordata, a positive serological reactions in the brucellosis (reaction Wright), syphilis (Wasserman).
Often found ankylosing spondylitis (Bechterew's disease-Strumpell-Marie) - clinical-anatomical variant of infectedref. This type of the disease is a chronic progressive course, begins with the sacroiliac joints, then strikes lumbar, thoracic and cervical spine. A characteristic feature of the disease is a progressive ossification ligamentous apparatus of the spine into a solid bone array. First, it is difficult and tilt the torso to the side, pain in the lower back with irradiation in the thigh, often taken for sciatica, which are enhanced at night and in wet weather. Slowly atrophy of muscles, changes gait. The appearance of patients with ankylosing spondylitis acquires the characteristic features - tilted forward upper body with kyphosis in the thoracic spine, cervical lordosis. The patient can not raise his head, looking as if askance; to look in the direction of turns his whole body.
The diagnosis of ankylosing spondylitis is made on the basis of clinical data and x-ray studies that have particularly important in the early stages of the disease, when there is change in the sacroiliac joints in the form of declinatio - the contours of the joints become uneven, bouhoubeyni. In later stages radiographically detected bony ankylosis small intervertebral joints, spine taking a characteristic appearance "bamboo sticks".
Treatment. Treatment of ankylosing spondylitis is based on the same principles as the treatment of infectedref. Saniyede infectious hearth. Appointed pyrazolinone drugs (phenylbutazone, reopirin, pirabutol and others), as well as hormonal preparations (ACTH, prednisolone, triamcinolone , and others). Also needed medical gymnastics, hydrogen sulfide, radon baths, paraffin and mud packs, massage, ultraviolet irradiation.
The treatment of infectious spondyloarthropathies are held, respectively, the main nature of the disease - specific therapy brucellosis, dysentery, syphilis. The forecast is serious; the possible outcome in ankylosis of intervertebral disks.