Pedicle subtraction osteotomy through pseudarthrosis to correct thoracolumbar kyphotic deformity in advanced ankylosing spondylitis

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[Correction of kyphotic deformity of the cervical spine in ankylosing spondylitis using pedicle subtraction osteotomy of the seventh cervical vertebra].

PURPOSE OF THE STUDY The aim of the study is to present the technique of pedicle subtraction osteotomy (PSO) of the seventh cervical vertebra (C7) for correction of rigid kyphotic deformity of the cervicothoracic junction (C/Th) in patients with severe ankylosing spondylitis (AS).. MATERIAL AND METHODS The PSO technique for correction of rigid deformity of the C/Th spine was used in five pati...

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Pedicle subtraction osteotomy for correction of severe thoracolumbar kyphosis in ankylosing spondylitis.

Introduction Ankylosing spondylitis (AS), a chronic inflammatory arthritis, primarily involves the axial skeleton and results in severe thoracolumbar kyphotic deformity. Treating AS-related kyphotic deformity typically involves one or more posterior wedge osteotomies and manipulation of the position of the spine by forceful manual extension to close them. Several types of osteotomy are availabl...

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Comparison of smith-petersen osteotomy, pedicular subtraction osteotomy, and poly-segmental wedge osteotomy in treating rigid thoracolumbar kyphotic deformity in ankylosing spondylitis a systematic review and meta-analysis

BACKGROUND This study aimed to compare Smith-Petersen osteotomy (SPO), poly-segmental wedge osteotomy (PWO) and pedicular subtraction osteotomy (PSO) in patients with rigid thoracolumbar kyphosis primarily caused by ankylosing spondylitis. The efficiency, efficacy and safety of these three osteotomies have not been compared systematically, and no illness-oriented surgical type selection strateg...

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Lumbar osteotomy for correction of thoracolumbar kyphotic deformity in ankylosing spondylitis. A structured review of three methods of treatment.

OBJECTIVES Three operative techniques have been described to correct thoracolumbar kyphotic deformity (TLKD) resulting from ankylosing spondylitis (AS) at the level of the lumbar spine: opening wedge osteotomy, polysegmental wedge osteotomies, and closing wedge osteotomy. Little knowledge exists on the indication for, and outcome of these corrective lumbar osteotomies. METHODS A structured re...

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Pedicle subtraction osteotomy in the treatment of chronic, posttraumatic kyphotic deformity.

OBJECT Thoracolumbar fractures, treated operatively or nonoperatively, may cause painful kyphotic deformities over time. A pedicle subtraction osteotomy (PSO) is a single-stage posterior procedure designed to correct sagittal plane deformity. Although it was initially used to treat nontraumatic conditions, a PSO can be highly effective in chronic, posttraumatic fractures of the lumbar spine. In...

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ژورنال

عنوان ژورنال: European Spine Journal

سال: 2011

ISSN: 0940-6719,1432-0932

DOI: 10.1007/s00586-011-2054-5