Ankylosing spondylitis with chin-on-chest deformity combined with Anderson lesion as the apex of cervicothoracic kyphosis: case report
نویسندگان
چکیده
Ankylosing spondylitis patient with chin-on-chest deformity and Anderson lesion as the apex of kyphosis in the cervicothoracic region is rare, and there was no consensus on the best surgical strategy for it. Here we report such a rare case of a 28-year-old man, who presented with a history of unsatisfactory appearance, cervicothoracic kyphosis, neck pain (VAS = 7), difficulty in ambulation, and inability to maintain frontal gaze. On physical examination, the patient presented severe kyphotic deformity of the cervico-thoracic spine with inability to keep horizontal gaze, the chin-brow angle was 58°. We performed extension osteotomy combined with intralesional curettage of the inflammatory lesion. At one-year follow up, the patient got significant neck pain relief (VAS = 1), expressed satisfaction for the restoration of forward gaze, with grade one of Patient Satisfaction Index (PSI). In conclusion, for AS patients with chin-on-chest deformity and AL as the apex of kyphosis in the cervicothoracic region, extension osteotomy combined with intralesional curettage of the inflammatory lesion is an effective surgical strategy. Our data is of great value in decision making and surgical planning for both spinal surgeon and the patients.
منابع مشابه
Vertebral locking lesion following cervical spine fracture in ankylosing spondylitis.
Spine fractures in patients with ankylosing spondylitis frequently extend to all 3 columns, which can lead to displacement and deformity with severe instability. Cervical spine fractures occasionally cause severe kyphotic deformities, such as chin-on-chest deformities. In such cases, the patients typically exhibit a chronic progression of hyperkyphosis after the traumatic event. This article de...
متن کاملJ Ortho Bone Disord 2017, 1(1): 000106
Andersson lesion (AL) is an uncommon manifestation of ankylosing spondylitis (AS) first described by Andersson in 1937. Few data are available on Anderson lesion in AS because of the lack of proper diagnostic criteria and the differences in the extent of spinal survey undertaken. Multiple types of surgery have been applied in the treatment for AL. However, the most effective and safe surgical p...
متن کاملFlexion osteotomy of the cervical spine: a new technique for correction of iatrogenic extension deformity in ankylosing spondylitis.
STUDY DESIGN A new surgical technique of cervical osteotomy to correct an extension deformity of the cervical spine is described, and a case is reported. OBJECTIVES To emphasize the disparate effect of osteotomy level on sagittal balance and gaze angle in surgical correction of global kyphotic deformity, and to describe a new surgical technique. SUMMARY OF BACKGROUND DATA Previous reports o...
متن کاملAuthor's response to reviews Title: Kyphectomy for severe kyphosis with pyogenic spondylitis associated with myelomeningocele: a case report Authors:
متن کامل
Are clinical measures influenced by various ethnic origins in Iranian patients with ankylosing spondylitis?: A pilot study
Background: Ankylosing spondylitis (AS) may manifest with heterogeneous patterns according to ethnic origins. The objectives of this study were to describe the influence of various Iranian ethnic origins on clinical measures in patients with AS. Methods: 0ne hundred sixty-three AS patients diagnosed by modified New York 1984 criteria were enrolled consecutively in a cross-sectional study. The ...
متن کامل