Ankylosing spondylitis combined with hip and knee fusion for 30 years, if the spine still exists joint space, usually through drug treatment can control the progress of the disease, if the spine is completely fused without joint space, usually need to carry out surgery to recover, but with certain risks.
1. Existence of joint gaps: If the patient’s spine still has joint gaps, NSAIDs such as celecoxib and other anti-rheumatic drugs such as adalimumab and sulphasalazine can be considered for treatment. During the treatment, liver and kidney function, blood count and other related indicators should be monitored regularly.
2. Complete fusion without joint space: If the patient’s spine is completely fused without joint space, surgical treatment can be considered to gradually restore the joint function, but there are certain risks, which need to be considered carefully.
Patients with ankylosing spondylitis and fusion of the hip and knee for 30 years are advised to go to rheumatology and orthopedics departments for detailed consultation and follow the doctor’s instructions.