LUMBAR TRANSPEDICULAR CLOSE WEDGE OSTEOTOMY FOR THE TREATMENT OF KYPHOTIC DEFORMITYDUE TO ANKYLOSING SPONDYLITIS
Journal Title: Journal of Turkish Spinal Surgery - Year 2008, Vol 19, Issue 4
Abstract
Progressive kyphotic deformity leads to postural, emotional and functional impairment in patients with ankylosing spondylitis. Although the disease affects the whole spine, lumbar region is the site of choice for corrective osteotomy. In this study, 20 patients treated by lumbar transpedicular closing wedge osteotomy for kyphotic deformity due to ankylosing spondilytis were analyzed regarding sagittal alignment, deformity magnitude, amount of correction and complications, with a minimum follow-up of two years. Total kyphotic deformity averaged 68.7° preoperatively, 28.3° postoperatively and 48.7° at follow-up. The increase in total kyphotic deformity between the early postoperative period and the last follow-up was statistically significant (p<0,01) Assessment of the osteotomy site revealed average correction of 37.6° (28°-58°) and an average 3° (0°-10°) loss of correction. There was no mortality, nor were there any permanent neurological complications. All patients were able to look straight ahead and abdominal plications disappeared postoperatively. One patient underwent a second lumbar osteotomy due to recurrence of deformity at proximal segments in the long term follow-up. Although total kyphotic deformity increased in the follow-up period, the patients did not return to their preoperative status. Lumbar transpedicular closing wedge osteotomy is safe and effective for correction of kyphotic deformity in ankylosing spondylitis.
Authors and Affiliations
Mahir GÜLŞEN, Cenk ÖZKAN, Mümin ALTIN
Keywords
Related Articles
- EP ID EP676582
- DOI -
- Views 112
- Downloads 0
PROF. ALİ FAHİR ÖZER, M.D.
Ali Fahir Özer was born in 1953 in Gumushane. He gratuated from Erzurum Ataturk University in 1976. He completed his residency at Hacettepe University. In 1989 he became an associate professor and in 1994 he became a ful...
EVALUATION OF CERVICAL SAGITTAL PARAMETERS IN NORMAL INDIVIDUALS BETWEEN 20-40 YEARS OF AGE
Objective: To obtain data that could be beneficial for investigation of spine and pelvis parameters in a healthy Turkish population sample who haven’t any spine deformities. This article discusses the prevalence of...
TREATMENT OF DEGENERATIVE LUMBAR SPİNAL STENOSIS BY TOTAL BILATERAL LAMINECTOMY, POSTEROLATERAL FUSION AND POSTERIOR İNSTRUMENTATİON
The treatment of degenerative lumbar spinal stenosis, either conservatively or surgically, stili remains controversjal. The discııssedpart of surgical intervention is arthrodesis and instrumentation, In this study, 30...
THE ADOLESCENT WITH AN EARLY SCOLIOTIC DEFORMITY BY MUSCLE STIMULATION
Presented are the results of an active treatment by electrical stimulation of the para-spinal muscles on the convex side of the scoliotic curve. The treatment was given nightly for a minimum of eight hourse per session,...
OSTEOID OSTEOMA AND BENIGN OSTEOBLASTOMA OF THE SPINE5
12 cases of osteoid osteoma (n:8) and benign osteoblastoma (n:4) of the spine were reviewed at an average of 3.9 years (range, six months to 10 years) after surgical removal. There were eight boys and four girls with an...