Spondyloarthritis & psoriatic arthritis

Clinical and laboratory factors associated with the bamboo spine in patients with axial spondyloarthritis: are there clues for the bamboo spine?

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Bamboo spine was more common in the male sex and associated with a delay in diagnosis, high BMI, hip involvement, and enthesitis.

Study context

Population
Patients fulfilling the 2009 ASAS classification criteria for axSpA in the TReasure database, radiographs assessed by Bath Ankylosing Spondylitis Radiologic Index (BASRI)1,246 with eligible radiographs
Participants
5,060 patients
Exposure
Bamboo spine vs longstanding disease without syndesmophytes
  • Group 1n = 111
Outcome
Clinical and laboratory factors associated with bamboo spine
Methodological detailsnational, multicentre, longitudinal, observational database (TReasure), multivariate logistic regression
  • National, multicentre, longitudinal, observational database (TReasure)
  • Multivariate logistic regression

Main finding

As reported in the abstract

Factors associated with bamboo spine

Bamboo spine prevalence among patients with eligible radiographs

111

8.9%

Observational data: associations, not effects.

Further findings

Hip arthritis, present or documented by a physician

P = 0.004

Median

OutcomeGroup 1Group 2P value
BMI27.7 (range as printed 25.8–31.1)25.9 (range as printed 22.9–29.2)P < 0.001

Enthesitis

Tendency towards more prevalent enthesitis in patients with bamboo spine (Group 1) vs Group 2
29.1% (25/86) vs. 15.9%(11/69), p=0.054

Male sex

Male sex more common among patients with bamboo spine

HLA-B27 status

Did not differ between groups

Smoking

More prevalent in Group 1

Multivariate logistic regression

Male sex, BMI, hip arthritis and enthesitis associated with bamboo spine in axSpA

Original publication

Clinical and laboratory factors associated with the bamboo spine in patients with axial spondyloarthritis: are there clues for the bamboo spine? Clin Exp Rheumatol. Published 4 December 2021. doi:10.55563/clinexprheumatol/eb1zpo

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