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SIJ - differentials
OCI / postpartum changes
Strain-related SIJ changes
Degenerative / DISH changes
Infectious sacroiliitis
Fractures
Inflammatory conditions
Metabolic disorders
Tumors
Spine - differentials
Degenerative changes
Infectious spondylitis
Differential diagnoses - spine

The two main differential diagnoses to axSpA spinal changes are:

  • Degenerative changes and
  • Septic spondylitis
Degenerative changes are frequent and can present clinically as well as by imaging with changes simulating axSpA, but MRI is especially valuable for differentiating septic spondylitis form SpA changes.
 
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