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This article discusses the natural course of degenerative changes in the spine in patients with axial spondyloarthritis (axSpA) over a 10-year period. The study analyzed radiographs and magnetic resonance imaging (MRI) of patients in the DESIR cohort and found that degenerative changes were prevalent in both imaging techniques. The most frequent degenerative changes observed on radiographs were loss of disk height, osteophytes, and facet joint osteoarthritis. On MRI, the most frequent degenerative changes were disk degeneration, high-intensity zone, Schmorl's node without edema, and disk protrusion. The study concludes that the prevalence of spinal degenerative changes is high in axSpA patients, with the number of changes increasing over time. [Extracted from the article]