Can ankylosing spondylitis cause spinal fractures?

Question

Hello doctor,

My friend has ankylosing spondylitis, and his doctor said he has a higher chance of a spinal fracture than other people. Is it true that people with ankylosing spondylitis have a four times higher risk of spinal fractures?

I am worried about him because the doctor said the overall risk is 5 to 15 percent. Should he take any special precautions to protect his spine?

I do not understand how this condition works, but I know it affects the spine and makes it stiffer. I want to help him stay safe, but I do not know what kind of precautions would help prevent fractures. Is there something specific he should avoid or do to lower his risk?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Yes, people with ankylosing spondylitis (AS) have a higher risk of spinal fractures. The spine stiffens in AS, making it more vulnerable. This causes inflammation in the vertebra, making it hard and prone to fractures. It can also affect other joints of the body. Due to increased bone stiffness and rigidity, spinal mobility is affected, and that might cause fracture.

Precautions to prevent fractures:

1. Avoid high-impact activities (heavy lifting, contact sports).

2. Exercise regularly (focus on posture, flexibility, and core strength).

3. Maintain good posture to reduce spinal stress.

4. Monitor bone health for osteoporosis; ensure enough calcium or vitamin D.

5. Fall prevention: Keep home safe (non-slip mats, good lighting).

6. Avoid smoking and excessive alcohol, which weaken bones.

7. Control AS with medication to reduce inflammation.

8. Regular follow-up with his treating doctor.

9. Avoid sudden twisting or bending movements and poor posture to protect the spine.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.