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12, P less then 0.001), lumbar spinal flexion (β = 0.13, P = 0.0, lateral spinal flexion (β = 0.09, P = 0.04), tragus-to-wall distance (β = 0.16, P less then 0.001) and BASFI (β = 0.14, P = 0.01). Costovertebral joint inflammation was also associated with BASMI (β = 0.08, P = 0.05). CONCLUSION Inflammatory lesions of facet and costovertebral joints in MRI are associated with restriction in spinal mobility and functional impairment. These important yet commonly overlooked lesions should be reviewed in clinical practice in patients