OSTEOTOMY OF THE SPINE IN THE TREATMENT OF ANKYLOSING SPONDYLITIS
Journal Title: Journal of Turkish Spinal Surgery - Year 1990, Vol 1, Issue 4
Abstract
From 1982 to 1987 we operated 14 patients with severe lumbar kyphosis which has been associated with Bechtrew's disease. Of these 7 were females and 7 males of the average age of 36 years (30-45). The mean follow-up was 6 years (ranging from 3 to 8 years) All patients were submitted to a functional surgery which consisted of osteotomy of the lumbar spine and reestablishmcnt of lumbar lordosis. Indications for and osteotomy of the lumbar spine were cases of : hudge lumbar kyphosis that were exposed to permanent osification changes of the spine and without signs of the evolution of the disease. Corrective osteotomy of the spine was done in a one stage surgical procedure. The level of osteotomy was L3-L4 in 9 patients. In the remaining 5 patients osteotomy was done at the level of L2 - L3. Size of the osteotomy ranged from 2.5 to 3 cm. 'The obtained correction was fixed by means of transpedicular plate, Zielke's system or ordinary wire in 10 cases. Infour cases osteotomy remained unfixed. Posto-peratively, patients were immobilized in plaster jackets which they had to wear at least one year. All the patients were submitted to a weak-up test. In all the cases and excellent deformity correction has been achieved. In three cases the following complications occured : partial neurological deficit which completely recovered after six months, paraplegia which partially recurred and one case with recurrence of the deformity.
Authors and Affiliations
M. S. Filipovic, Z. B. Milinkovic, V. Basara, V. Basic
Keywords
Related Articles
- EP ID EP676113
- DOI -
- Views 133
- Downloads 0
CLAY-SHOVELER’S FRACTURE FOLLOWING A FALL FROM HEIGHT
Clay-shoveler’s fracture represents an avulsion type of fracture of a spinous process in the lower cervical or upper thoracic region. It is an extremely rare injury at the present times but may be one aspect of a serious...
TREATMENT OF PRESSURE SORES İN PARAPLEGIC PATIENTS WITH GLUTEAL PERFORATOR BASED FLAP
Between 1993 and 1995, eleven paraplegic patients with sacral pressure sores were operated in Ege University Medical Faculty, Department of Orthopaedics. Avarage age during the operation was 34 (min. 18-max. 46) years. N...
EFFICACY OF IMPACTION OF RETRO-PULSED BONY FRAGMENTS IN LUMBAR BURST FRACTURES: COMPARISON WITH LIGAMENTOTAXIS
Aim: Traumatic thoracolumbar burst fractures remain a challenge that have highly financial and social expenses. Burst spinal fractures are frequently related with neurologic deficit and in the young age group incidenc...
SURGICAL TREATMENT OF NEUROMUSCULAR SCOLIOSIS
Purpose: Scoliosis due to neuropathic or myopathic disorders is called neuropathic scoliosis. Neuromuscular scoliosis are presented with pelvic obliquity, sagittal and coronal trunk imbalance, wide curve and collapsin...
GROWTH PROGRESSION OF FORESTIER’S DiSEASE İN THE CERVICAL SPINE
Forestier’s disease is known as a diffuse idiopathic skeletal hyperostosis (DISH) and the nature of its progression is not completely understood. A 50-year-old female was admitted with neck pain, headaches for 22 years a...