The clinical relevance of the presence of bridging syndesmophytes on kyphosis correction and maintenance following pedicle subtraction osteotomy for thoracolumbar kyphotic deformity in ankylosing spondylitis: a comparative cohort study

Autor: Sai-hu Mao, Zong-xian Feng, Bang-ping Qian, Yong Qiu
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Musculoskeletal Disorders, Vol 19, Iss 1, Pp 1-8 (2018)
Druh dokumentu: article
ISSN: 1471-2474
DOI: 10.1186/s12891-018-2013-y
Popis: Abstract Background The presence of bridging syndesmophytes (BS) in spinal osteotomy region serves traditionally as one critical determinant for selection of osteotomy techniques. While nowadays the proportion of kyphotic ankylosing spondylitis (AS) patients receiving pedicle subtraction osteotomy (PSO) with yet mobile neighboring disc has seen a substantial increase. Literatures investigating the clinical relevance of the presence of BS on kyphosis correction and maintenance following PSO are scarce. Methods A total of 71 thoracolumbar kyphotic AS patients treated with single-level PSO at our hospital between September 2010 and August 2014 were retrospectively reviewed, 32 of whom were stratified into the BS group (BG). The operative corrections of multiple spino-pelvic sagittal parameters were assessed. Comparison of the contribution of adjacent disc wedging to total correction per PSO segment was made between the BS and non-BS groups (NBG). The correction loss were also evaluated and compared with a minimum 2-year follow-up. Results A significantly younger age (30.97 ± 8.28 vs. 40.31 ± 8.44 yrs., p
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