Ramiro S, et al. - Experts compared the performance of different spinal radiographic damage scoring methods in patients with early axial spondyloarthritis (axSpA). Findings suggested a good performance of the existing scoring methods to assess spinal radiographic damage in early phases of axSpA. Most change was captured by modified Stoke Ankylosing Spondylitis Spine Score (mSASSS) and Radiographic AS Spinal Score (RASSS). In additionally scoring the thoracic spine for the RASSS, no clear gain was noted. In axSpA, including the early phases of the disease, mSASSS was the most sensitive and valid scoring method.