کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5627008 1579663 2017 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
One-stage posterior grade 4 osteotomy and bone graft fusion at pseudarthrosis for the treatment of kyphotic deformity with Andersson lesions in ankylosing spondylitis
ترجمه فارسی عنوان
استئویتومی یک درجه ای خلفی درجه 4 و فیوژن پیوند استخوان در پدیده آترتوز برای درمان زخم های کفیوتی با ضایعات اندرسون در اسپوندیلیت انکیلوز
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی


- Show a new approach for the treatment of kyphotic deformity with ALs in AS.
- To debride pseudoarthrotic tissue, correct kyphotic deformity and bone graft by one approach.
- Avoid the complications of the anterior approach and obtain the advantages of anterior fusion.
- Present smaller blood loss and operation time, few complications and good safety.
- Provide satisfactory correction for LK and get successful fusion and good clinical outcomes.

ObjectivesThe optimal surgical procedure for treating kyphotic deformity with Andersson lesions (ALs) in ankylosing spondylitis (AS) patients is controversial. The one-stage posterior osteotomy and bone graft fusion approach is rarely reported. The aim of the present study was to report a new surgical procedure involving one-stage posterior grade 4 osteotomy and bone graft fusion for the treatment of kyphotic deformity with ALs in AS.Patients and methodsEleven patients with ALs in AS were enrolled. One-stage posterior grade 4 osteotomy and bone graft fusion was performed in all patients. Frankel classification and visual analog scale (VAS) were used to evaluate neurologic deficit and the level of back pain pre- and postoperatively, respectively. Radiographic and clinical outcomes were assessed with a mean of 31.5 months follow-up.ResultsLocal kyphosis was corrected from 19.1° to 0.5° after surgery with a mean correction rate of 95%. One Frankel C and 5 Frankel D patients changed to Frankel D and Frankel E, respectively. VAS was reduced from 6.7 to 0.27 at final follow-up. Bone graft fusion was observed at an average of 4.3 months and solid bony fusion was achieved at final follow-up. Average operation time and blood loss were 268.6 min and 1009 ml, respectively. Three patients developed dural tear complications. There were no neurological or instrumentation complications reported or observed at final follow-up.ConclusionOne-stage posterior grade 4 osteotomy and bone graft fusion is an optional surgical procedure to treat ALs in AS patients. This approach results in reduced blood loss and operation time, satisfactory correction of local kyphosis, and good safety. Successful fusion and good clinical outcomes can also be achieved.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Neurology and Neurosurgery - Volume 159, August 2017, Pages 19-24
نویسندگان
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