A member asked:

How does spondylitis typically show on radiography early on? are there distinct lesions, or could it appear the same as normal degenerative changes?

A doctor has provided 1 answer
Dr. Edward Hellman answered

Specializes in Orthopedic Surgery

Very subtle: In its earliest stages, it can be difficult to differentiate the X-ray findings of degenerative arthritis and spondylitis. Spondylitis is more of a systemic condition, so the findings are more likely to be symmetric and multilevel. Spondylitis can involve calcification of the soft tissues, where degenerative arthritis does not.

Answered 1/23/2015

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