When is surgery indicated in Axial Spondyloarthritis

When is surgery indicated in Axial Spondyloarthritis?

Total hip replacement is indicated in the setting of severe pain and limitation of motion. Bisphosphonates and NSAIDs may be used for 3 months after surgery to prevent postoperative calcifications around the prosthesis. Vertebral wedge osteotomy to correct severe kyphotic deformities in some patients may be considered, but it carries the risk of operative neurologic damage and should only be performed at experienced centers.


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