Joint inflammation in conjunction with psoriasis is usually milder, but can progress in about the same way as rheumatoid arthritis. No studies reliably identify the prevalence of this disease, but surgical intervention is used to treat some individuals with this type of disease each year. Joint inflammation in the spine usually debuts at a relatively young age, between age 15 and 30 years. In certain life-threatening situations, rheumatic surgery is nearly imperative. In most cases, however, the need for surgery is based on the patient's problems, functional impairment, and motivation to have surgery, and the judgment that a procedure will substantially improve the patient's living situation, ie, relieve pain, prevent further deterioration, and improve functional abilities.
Severe pain is the single most common indication for rheumatic surgery.
Scientific evidence Rheumatic surgery is, for several reasons, exceptionally difficult to assess. One reason is that the underlying rheumatic disorder is chronic and may continue to attack other joints after surgery. Furthermore, neither the disease profile nor the surgical procedure are standardized, but vary from patient to patient. In addition, it is difficult to distinguish the effects of a rheumatic surgery procedure from the effects of other concurrent treatment. Finally, it is difficult to measure effects because of rapid technological advancements in the field, not least the continuous modification of implants used in rheumatic surgery.