Possible radiotherapy of Morbus Bechterew

Early diagnosis is most important for an effective therapy of ankylosing spondylitis (Morbus Bechterew). Especially the radiologic findings improve the diagnosis in the early stage of the disease. Concerning the treatment modalities, which are reviewed in detail, the radiation therapy is of special interest. There is no risk for the patient treating with low dose radiation. In the last years the therapy with 224Ra (Thorium X) has become important enough to be included in the treatment planing of the ankylosing spondylitis. Indications, contraindications, risks as well as results of different therapeutic modalities are discussed. (orig.)