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 110
- Downloads 0
THE RESULTS OF POSTERIOR TOTAL WEDGE OSTEOTOMY (DOMANİÇ’S OSTEOTOMY) FOR CORONAL AND SAGITTAL SPINAL DEFORMITIES
Introduction: In the literature, in order to preserve balance of the spine and to correct deformities, different types of osteotomies were described. The treatment of severe coronal and sagittal deformity using correc...
C.D. INSTRUMENTATION İN UNSTABLE THORACOLUMBAR VERTEBRAL FRACTURES
We applied CD intumentation in our clinic our clinic betvveen 1989-1992. There were 20 male, 10 female pa-tient. The youngest age was 17 the oldest was 54 (mean 32). The operation is applied as soon as possible. The aver...
SELECTIVE POSTERIOR FUSION FOR LENKE TYPE I ADOLESCENT IDIOPATHIC SCOLIOSIS
The aim of this retrospective study was to evaluate the results of posterior selective fusion (PSF) performed for patients with Lenke Type 1 Adolescent Idiopathic Scoliosis (AIS). For this purpose 30 patients who underwe...
THE INFLUENCE OF THE TREATMENT OF SCOLIOSIS WITH MIAMI TLSO ON THE SELECTED PARAMETERS OF PULMONARY FUNCTION
Selected parameters of pulmonary function in a group of 34 girls with late-onset idiopathic scoliosis (mean age 13,6 and mean thoracic curve of 33.5°), treated with Miami Thoraco-lumbo-sac.ral orthosis (TLSO), were teste...
RECENT FIXATION TECHNIQUES IN OCCIPITOCERVICAL REGION
The fixation techniques used in occipitocervical junction are somehow different from the techniques used in other regions of the spine as the occipitocervical junction is different both anatomically and biomechanically....