| Abstract: | To explore the significance of sacroiliac joint aerocele in the diagnosis of ankylosing spondylitis, the data of 196 patients
with ankylosing spondylitis (AS) were collected during December of 2008 to May of 2009. And 50 patients with osteoarthritis
(OA), 15 patients with sclerosing osteitis (SO) and 47 patients with sacroiliac joint tumors were investigated as the control
groups. The feature of sacroiliac joint aerocele in computed tomography (CT) images was observed carefully. In AS group there
were 130 patients (66.3%) diagnosed as AS according to CT results, and 32 of them (24.6%) were observed with aerocele within
sacroiliac joint cavity, majority of whom were earlier AS patients with slight bone destruction. Other 66 patients were diagnosed
as early AS according to magnetic resonance imaging (MRI) and ultrasonography. CT examination showed that the 66 patients
did not have apparent bone destruction, of whom, 26 (39.4%) patients had aerocele within sacroiliac joint cavity. Among the
control groups of 15 (15/50, 30.0%) patients with OA, 5 (5/15, 33.3%) patients with SO were observed sacroiliac joint aerocele.
The 47 patients with sacroiliac joint tumors were observed with bone or cartilage destruction, but without signs of sacroiliac
joint aerocele. The sacroiliac joint aerocele in CT images of AS patients usually appeared as spots, streaks, small or larger
round blocks, and it often happened in patients with earlier stage of diseases. Sacroiliac joint aerocele may be useful to
early diagnosis of AS. |
