scholarly journals Pedicle Subtraction Osteotomy for Correction of Severe Thoracolumbar Kyphosis in Ankylosing Spondylitis

2014 ◽  
Vol 6 (3) ◽  
pp. 257-258 ◽  
Author(s):  
Zhen Liu ◽  
Yong Qiu ◽  
Ze-zhang Zhu ◽  
Bang-ping Qian ◽  
Jun Qiao ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Pedicle Subtraction Osteotomy ◽  
Thoracolumbar Kyphosis

scholarly journals Radiographic findings for surgery-related complications after pedicle subtraction osteotomy for thoracolumbar kyphosis in 230 patients with ankylosing spondylitis

2020 ◽  
Vol 33 (3) ◽  
pp. 366-372
Author(s):  
Keun-Ho Lee ◽  
Ki-Tack Kim ◽  
Yong-Chan Kim ◽  
Joong-Won Lee ◽  
Kee-Yong Ha
Keyword(s):  
Ankylosing Spondylitis ◽  
Pedicle Screws ◽  
Pedicle Subtraction Osteotomy ◽  
Delayed Union ◽  
Mechanical Failure ◽  
Technical Failure ◽  
Thoracolumbar Kyphosis ◽  
Radiographic Findings ◽  
Coronal Imbalance ◽  
Surgical Technical

OBJECTIVEThe purpose of this study was to investigate the rate of and the risk factors for surgery-related complications demonstrated on radiography after pedicle subtraction osteotomy (PSO) for thoracolumbar kyphosis in patients with ankylosing spondylitis (AS).METHODSThe authors retrospectively reviewed the medical records of 230 consecutive patients with thoracolumbar kyphosis due to AS who had undergone 1-level PSO at a single institution in the period from 2010 to 2017. The causes of surgery-related complications were divided into two types: surgical/technical failure and mechanical failure.RESULTSThe patients consisted of 20 women and 210 men, with an average age of 43.4 years. The average follow-up period was 39.0 months. The preoperative sagittal vertical axis was 18.5 ± 69.3 cm, which improved to 4.9 ± 4.6 cm after PSO. Of the 77 patients (33.5%) who experienced minor or major surgery-related complications, 56 had complications related to surgical/technical failure (overall incidence 24.3%) and 21 had complications related to mechanical failure (overall incidence 9.1%). Fourteen patients (6.1%) underwent reoperation. However, among the 77 patients with complications, the rate of revision surgery was 18.2%. The most common radiological complications were as follows: sagittal translation in 24 patients, coronal imbalance in 20, under-correction in 8, delayed union in 8, and distal junctional failure and kyphosis in 8. The most common causes of reoperation were coronal imbalance in 4 patients, symptomatic malposition of pedicle screws in 3, and distal junctional failure in 3. Delayed union was statistically correlated with posterior sagittal translation (p = 0.007).CONCLUSIONSPSO can provide acceptable radiographic outcomes for the correction of thoracolumbar kyphosis in patients with AS. However, a high incidence of surgery-related complications related to mechanical failure and surgical technique can develop. Thorough radiographic investigation before and during surgery is needed to determine whether complete ossification occurs along the anterior and posterior longitudinal ligaments of the spine.

Lung Volume Change After Pedicle Subtraction Osteotomy in Patients With Ankylosing Spondylitis With Thoracolumbar Kyphosis

Spine ◽  
2015 ◽  
Vol 40 (4) ◽  
pp. 233-237 ◽  
Author(s):  
Guoying Zhang ◽  
Jun Fu ◽  
Yonggang Zhang ◽  
Wei Zhang ◽  
Xuesong Zhang ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Volume Change ◽  
Lung Volume ◽  
Pedicle Subtraction Osteotomy ◽  
Thoracolumbar Kyphosis

scholarly journals A Prospective Comparison of Vertebral Column Decancellation Versus Pedicle Subtraction Osteotomy in Thoracolumbar Kyphosis

2020 ◽  
pp. 1-8
Author(s):  
Yunfei Ouyang ◽  
Wang Yan ◽  
Zheng Guoquan ◽  
Xiao Songhua ◽  
Huang Peng ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Vertebral Column ◽  
Pedicle Subtraction Osteotomy ◽  
Spinal Deformities ◽  
Thoracolumbar Kyphosis ◽  
Prospective Comparison ◽  
Spine Deformities ◽  
Background Data ◽  
Advanced Stages ◽  
A Prospective Study

Study Design: A prospective study. Summary of Background Data: For advanced stages of ankylosing spondylitis (AS), the correction of spine deformities is quite often with pedicle subtraction osteotomy (PSO). We reported a new resected technique of spinal osteotomy, called the vertebral column decancellation (VCD) in 2010 to treat rigid scoliosis and severe sharp angular spinal deformities. We first report comparisons between VCD with PSO. Objective: We performed to compare VCD and PSO in correcting kyphosis deformities related to AS.

Sign in / Sign up

Export Citation Format

Share Document