Case Report iMedPub Journals Spine Research 2017 http://www.imedpub.com/ Vol.3 No.1:4 ISSN 2471-8173 DOI: 10.21767/2471-8173.10004 Ankylosing Spondylitis Versus Internal Disc Disruption: A Case Report Treated Successfully with Intradiscal Platelet-Rich Plasma Injection Richard G Chang, Nicole R Hurwitz, Julian R Harrison, Jennifer Cheng, and Gregory E Lutz Department of Physiatry, Hospital for Special Surgery, New York, USA Rec date: Feb 25, 2017; Acc date: April 7, 2017; Pub date: April 11, 2017 Corresponding author: Gregory E Lutz, Department of Physiatry, Hospital for Special Surgery, New York, USA, E-mail:
[email protected] Citation: Chang RG, Hurwitz NR, Harrison JR, et al. Ankylosing Spondylitis Versus Internal Disc Disruption: A Case Report Treated Successfully with Intradiscal Platelet-Rich Plasma Injection. Spine Res 2017, 3: 4. Abbreviations: AS: Ankylosing Spondylitis; IDD: Internal Disc Disruption; IVD: Intervertebral Disc; MRI: Magnetic Abstract Resonance Imaging; NSAID: Non-Steroidal Anti- Inflammatory Drug; PRP: Platelet-Rich Plasma; PSIS: We report the case of a 21-year-old female who Posterior Superior Iliac Spines; SI: Sacroiliac presented with severe disabling low back pain radiating to both buttocks for 1 year. She was initially diagnosed with ankylosing spondylitis (AS) based on her complaints of persistent low back pain with bilateral sacroiliitis found on Introduction magnetic resonance imaging (MRI) of the sacroiliac joints. The differential diagnosis of patients who present with Despite testing negative for HLA-B27 and lack of other positive imaging to support the diagnosis, she was still primarily low back and bilateral buttock pain without any clear treated presumptively as a patient with this disease.