Loss of Correction in the Treatment of Thoracolumbar Kyphosis Secondary to Ankylosing Spondylitis A Comparison Between Smith-Petersen Osteotomies and Pedicle Subtraction Osteotomy

被引:30
|
作者
Zhu, Zezhang [1 ]
Wang, Xinhua [1 ]
Qian, Bangping [1 ]
Wang, Bin [1 ]
Yu, Yang [1 ]
Zhao, Qinghua [1 ]
Qiu, Yong [1 ]
机构
[1] Nanjing Univ, Sch Med, Drum Tower Hosp, Nanjing 210008, Peoples R China
来源
JOURNAL OF SPINAL DISORDERS & TECHNIQUES | 2012年 / 25卷 / 07期
关键词
ankylosing spondylitis; kyphosis; osteotomy; OPENING WEDGE OSTEOTOMY; DEFORMITY; SPINE;
D O I
10.1097/BSD.0b013e318224b199
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design: Retrospective comparison of database patients. Objective: To evaluate the difference of loss of correction between Smith-Petersen osteotomies (SPOs) and pedicle subtraction osteotomy (PSO) in patients with thoracolumbar kyphosis secondary to ankylosing spondylitis (AS). Summary of Background Data: SPOs and PSO are reported to be the 2 major techniques for correction of thoracolumbar kyphosis resulting from AS. Previous studies have tried to compare the indication, technical aspects, correction obtained, and complication rates between the aforementioned 2 techniques. However, reports addressing a comparison of loss of correction between SPOs and PSO are limited. Materials and Methods: On the basis of the types of osteotomies, 50 patients were divided into 2 groups: (1) SPOs group (n = 19) including 16 male and 3 female patients, with an age range from 21 to 40 years (mean 27 y). The preoperative global kyphosis (GK) ranged from 41 to 99 degrees (average 64.6 +/- 25.6 degrees); (2) PSO group (n = 31) consisted of 26 male and 5 female patients, with an age range from 22 to 54 years (mean 36 y). The preoperative GK was 50 to 96 degrees (average 73.7 +/- 23.6 degrees). Radiographic parameters including sagittal vertical axis, T12-S1 lordosis, GK, and angle of fusion levels were measured. Results: Both groups showed similar preoperative and postoperative thoracic kyphosis, lumbar lordosis, and sagittal vertical axis. The average GK was corrected to 25.5 degrees and 31.4 degrees in SPOs group and PSO group, respectively. All cases were followed for a minimum of 2 years. At the last follow-up, mean loss of correction in the fusion levels were 6.1 degrees in SPOs group and 1.3 degrees in PSO group, respectively. The difference was statistically significant (P = 0.034). Loss of correction of > 5 degrees occurred in 4 cases (21.1%) in SPOs group, and 5 cases (16.1%) in PSO group. Conclusions: Both SPOs and PSO showed similar effect in correcting the thoracolumbar kyphosis secondary to AS. However, patients treated with the SPOs technique showed higher risk in loss of correction in the instrumented region.
引用
收藏
页码:383 / 390
页数:8
相关论文
共 50 条
  • [1] Comparison of Smith-Petersen Osteotomy and Pedicle Subtraction Osteotomy for the Correction of Thoracolumbar Kyphotic Deformity in Ankylosing Spondylitis A Systematic Review and Meta-analysis
    Liu, Hui
    Yang, Changsheng
    Zheng, Zhaomin
    Ding, Wenbin
    Wang, Jianru
    Wang, Hua
    Li, Sibei
    SPINE, 2015, 40 (08) : 570 - 579
  • [2] Pedicle Subtraction Osteotomy for Correction of Severe Thoracolumbar Kyphosis in Ankylosing Spondylitis
    Liu, Zhen
    Qiu, Yong
    Zhu, Ze-zhang
    Qian, Bang-ping
    Qiao, Jun
    Jiang, Long
    Wang, Bin
    Zhu, Feng
    ORTHOPAEDIC SURGERY, 2014, 6 (03) : 257 - 258
  • [3] Determining the vertebra for pedicle subtraction osteotomy in surgical correction for ankylosing spondylitis with thoracolumbar kyphosis
    Li, Xiongjie
    Kim, Yong-Chan
    Kim, Sung-Min
    Hung, Billy Francis
    Lee, Young-Jik
    JOURNAL OF NEUROSURGERY-SPINE, 2023, 41 (03) : 325 - 331
  • [4] Cervicothoracic junction kyphosis: surgical reconstruction with pedicle subtraction osteotomy and Smith-Petersen osteotomy
    Samudrala, Srinath
    Vaynman, Shoshanna
    Thiayananthan, Ty
    Ghostine, Samer
    Bergey, Darren L.
    Anand, Neel
    Pashman, Robert S.
    Johnson, J. Patrick
    JOURNAL OF NEUROSURGERY-SPINE, 2010, 13 (06) : 695 - 706
  • [5] Comparison of Smith-Petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance
    Cho, KJ
    Bridwell, KH
    Lenke, LG
    Berra, A
    Baldus, C
    SPINE, 2005, 30 (18) : 2030 - 2037
  • [6] Multilevel Pedicle Subtraction Osteotomy for Correction of Thoracolumbar Kyphosis in Ankylosing Spondylitis: Clinical Effect and Biomechanical Evaluation
    Lv, Xin
    Nuertai, Yelidana
    Wang, Qiwei
    Zhang, Di
    Hu, Xumin
    Liu, Jiabao
    Zeng, Ziliang
    Huang, Renyuan
    Huang, Zhihao
    Zhao, Qiancheng
    Li, Wenpeng
    Zhang, Zhilei
    Gao, Liangbin
    NEUROSPINE, 2024, 21 (01) : 231 - 243
  • [7] Comparison of Smith-Petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance -: Point of view
    Sengupta, DK
    SPINE, 2005, 30 (18) : 2038 - 2038
  • [8] Comparison of Pedicle Subtraction and Smith-Petersen Osteotomies in Correcting Thoracic Kyphosis When Closed With a Central Hook-Rod Construct
    Lewis, Stephen J.
    Bodrogi, Andrew
    Dear, Taylor
    Keshen, Sam G. N.
    Shihata, Shadi
    Lewis, Noah D. H.
    Magana, Sofia
    SPINE, 2014, 39 (15) : 1217 - 1224
  • [9] Pedicle subtraction osteotomy for the corrective surgery of ankylosing spondylitis with thoracolumbar kyphosis: experience with 38 patients
    Luan, Haopeng
    Liu, Kai
    Kahaer, Alafate
    Wang, Yao
    Sheng, Weibin
    Maimaiti, Maierdan
    Guo, Hailong
    Deng, Qiang
    BMC MUSCULOSKELETAL DISORDERS, 2022, 23 (01)
  • [10] Lung Volume Change After Pedicle Subtraction Osteotomy in Patients With Ankylosing Spondylitis With Thoracolumbar Kyphosis
    Zhang, Guoying
    Fu, Jun
    Zhang, Yonggang
    Zhang, Wei
    Zhang, Xuesong
    Wang, Zheng
    Mao, Keya
    Wang, Yan
    SPINE, 2015, 40 (04) : 233 - 237