Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)

Using a clinical example, the authors set the goal of elucidating the result of a two-stage surgical treatment of Anderson’s lesion, carried out in the long-term period after a one-stage correction of flexion deformity of the ankylosed spine without fixation.Results. The analysis of the results of...

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Autores principales:	V. V. Rerikh, E. V. Dubinin
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	andersson’s lesion corrective vertebrotomy ankylosing spondylitis sagittal balance instability Science Q
Acceso en línea:	https://doaj.org/article/3fdec6c36baf472ab0130b0255ef2de3
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spelling	oai:doaj.org-article:3fdec6c36baf472ab0130b0255ef2de32021-11-23T06:14:45ZSurgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)2541-94202587-959610.29413/ABS.2020-5.6.19https://doaj.org/article/3fdec6c36baf472ab0130b0255ef2de32021-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2509https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Using a clinical example, the authors set the goal of elucidating the result of a two-stage surgical treatment of Anderson’s lesion, carried out in the long-term period after a one-stage correction of flexion deformity of the ankylosed spine without fixation.Results. The analysis of the results of treatment three years after decompression-corrective stabilizing surgery performed for Anderson’s lesion at the ThX–ThXI level, which developed 10 years after the correction of flexion deformity of the ankylosed spine by “open” vertebrotomy LIV–LV. No progression of Anderson’s lesion in all previously identified vertebral segments was noted. The existing neurological deficit regressed from ASIA C to ASIA E. Normalization of the SVA sagittal balance parameter was revealed, with preserved local kyphosis at the ThX–ThXI level of 15° (initial – 30°). The indicator ODI (Oswestry Disability Index), VAS and FIM (Functional Independence Measure) were, respectively, before surgery 67, 6 and 82, 3 years after surgery – 10, 0 and 126.Conclusion. In the presented case, the surgical correction of the deformity, carried out taking into account the parameters of the sagittal balance, with the stabilization of the ventral and dorsal columns, and decompression, made it possible to prevent the progression of Andersson’s lesion, achieve regression of neurological symptoms, and improve the patient’s quality of life.V. V. RerikhE. V. DubininScientific Сentre for Family Health and Human Reproduction Problemsarticleandersson’s lesioncorrective vertebrotomyankylosing spondylitissagittal balanceinstabilityScienceQRUActa Biomedica Scientifica, Vol 5, Iss 6, Pp 165-170 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	andersson’s lesion corrective vertebrotomy ankylosing spondylitis sagittal balance instability Science Q
spellingShingle	andersson’s lesion corrective vertebrotomy ankylosing spondylitis sagittal balance instability Science Q V. V. Rerikh E. V. Dubinin Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
description	Using a clinical example, the authors set the goal of elucidating the result of a two-stage surgical treatment of Anderson’s lesion, carried out in the long-term period after a one-stage correction of flexion deformity of the ankylosed spine without fixation.Results. The analysis of the results of treatment three years after decompression-corrective stabilizing surgery performed for Anderson’s lesion at the ThX–ThXI level, which developed 10 years after the correction of flexion deformity of the ankylosed spine by “open” vertebrotomy LIV–LV. No progression of Anderson’s lesion in all previously identified vertebral segments was noted. The existing neurological deficit regressed from ASIA C to ASIA E. Normalization of the SVA sagittal balance parameter was revealed, with preserved local kyphosis at the ThX–ThXI level of 15° (initial – 30°). The indicator ODI (Oswestry Disability Index), VAS and FIM (Functional Independence Measure) were, respectively, before surgery 67, 6 and 82, 3 years after surgery – 10, 0 and 126.Conclusion. In the presented case, the surgical correction of the deformity, carried out taking into account the parameters of the sagittal balance, with the stabilization of the ventral and dorsal columns, and decompression, made it possible to prevent the progression of Andersson’s lesion, achieve regression of neurological symptoms, and improve the patient’s quality of life.
format	article
author	V. V. Rerikh E. V. Dubinin
author_facet	V. V. Rerikh E. V. Dubinin
author_sort	V. V. Rerikh
title	Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
title_short	Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
title_full	Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
title_fullStr	Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
title_full_unstemmed	Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)
title_sort	surgical treatment of andersson’s lesion in ankylosing spondylitis after corrective vertebrotomy in the long term (clinical observation)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/3fdec6c36baf472ab0130b0255ef2de3
work_keys_str_mv	AT vvrerikh surgicaltreatmentofanderssonslesioninankylosingspondylitisaftercorrectivevertebrotomyinthelongtermclinicalobservation AT evdubinin surgicaltreatmentofanderssonslesioninankylosingspondylitisaftercorrectivevertebrotomyinthelongtermclinicalobservation
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Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation)

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