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SURGICAL TREATMENT OF SPINAL DEFORMITIES İN ANKYLOSING SPONDYLITIS

  • Mahir GÜLŞEN
  • Serdar ÖZBARLAS
  • Gürbüz BAYTOK
  • Mustafa HERDEM

J Turk Spinal Surg 1993;4(3):112-115

Fifteen patients vvith the diagnosis of anylosing spondylitis (14 male and 1 female) were operated in the Department of Orthopaedics and Traumatology, Faculty of Medicine, University of Çukurova between December 1992 and January 1994. The mean age of patients were 37 (range, 23-35). The surgical methods were as follovvs: Twelve patients had posterior lumbar egg-shell procedure (posterior transpedicular vertebral body decancellation) with internal fixation, 2 patients had thoracol anterior release and posterior multi-segment osteotomy vvith instru-mentation, and one patient had cervical egg-shell procedure with halo-body external fixation. Isola system was used in the instrumented cases. Overall mean correction was 27.2 degrees in lumbar osteotomy cases. The mean follow-up period was 7.9 months (range, 4-15). Ali patients had the ability to look forward postoperatively, and were satisfied with the result subjectively. We had to partial loss of correction, one minör root lesion, one he-matoma, and one deep infection that resulted in removal of internal fixation material. İn conclusion, surgical treat-ment of ankylosing spondylitis especially with egg-shell procedure is satisfactory for realigning the vertebral col-umn.

Keywords: Ankylosing spondyilitis, kyphosis, osteotomy