Minimally Invasive versus Conventional Open Surgery for Fixation of Spinal Fracture in Ankylosed Spine

Chung, Weng Hong; Ng, Wei Lin; Chiu, Chee Kidd; Chan, Chris Yin Wei; Kwan, Mun Keong

doi:10.5704/moj.2011.005

Cited by 11 publications

(6 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, multiple studies have directly compared outcomes of minimally invasive vs open techniques in patients with thoracic or lumbar fractures in the setting of AS and found significantly decreased average operative time, intraoperative blood loss, and length of postoperative hospital stay using minimally invasive techniques, without any difference in quality of reduction or accuracy of screw placement (Table I) 11,24,25,30–33 . Finally, percutaneous screw placement in the setting of a deformed spine may be challenging because traditional landmarks used to guide safe implant placement may be distorted or absent 8 .…”

Section: Discussionmentioning

confidence: 99%

Reduction and Stabilization of an Extension-Distraction Injury in a Patient with Ankylosing Spondylitis

Burke

Tadepalli

Chi

et al. 2022

JBJS Case Connector

View full text Add to dashboard Cite

Case: The authors reported a case of an 83-year-old man with ankylosing spondylitis throughout the cervical, thoracic, and lumbar spine who sustained a three-column T10 osteoligamentous extension-distraction injury after low-energy trauma. A closed reduction was performed using incremental flexion on a variable flexion-extension table and subsequent stabilization with robotic-assisted percutaneous pedicle screw placement. Postoperative radiographs at 7-month followup showed intact implants with adequate alignment with the patient remaining at neurological baseline. Conclusion:A closed reduction method using a variable flexion-extension table with stabilization through percutaneous pedicle screw placement is a safe and appropriate method to achieve spinal realignment in select patients.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B944).

show abstract

Section: Discussionmentioning

confidence: 99%

Reduction and Stabilization of an Extension-Distraction Injury in a Patient with Ankylosing Spondylitis

Burke

Tadepalli

Chi

et al. 2022

JBJS Case Connector

View full text Add to dashboard Cite

show abstract

“…In the AS and DISH population, surgical stabilization is typically extended 2-3 levels above and below the fracture segment due to the inherent instability of the fracture and higher biomechanical stress in ankylosed spines. 1,9,18,20 Most prior studies in AS and DISH report instrumentation spanning an average of 5.2 to 7.9 segments. 9,10,[12][13][14] In a small cases series of 10 patients undergoing MIS fixation for thoracolumbar trauma with AS or DISH utilized a shorter segment construct, instrumenting an average of 1.8 segments, Krüger et al reported no instrumentation failures or other operationassociated complications in the short-term post-operative period.…”

Section: Discussionmentioning

confidence: 99%

“…1,9,18,20 Most prior studies in AS and DISH report instrumentation spanning an average of 5.2 to 7.9 segments. 9,10,[12][13][14] In a small cases series of 10 patients undergoing MIS fixation for thoracolumbar trauma with AS or DISH utilized a shorter segment construct, instrumenting an average of 1.8 segments, Krüger et al reported no instrumentation failures or other operationassociated complications in the short-term post-operative period. 22 In the current study, an average of 3.9 ± 1.6 spinal levels were instrumented across all groups; there was no difference in the number of levels instrumented between the AS, DISH, and advanced spondylosis groups (P = .383).…”

Section: Discussionmentioning

confidence: 99%

“…8 However, standard open techniques are often morbid and associated with large blood loss, increased operative time, and higher wound-related complications such as infections. 9 Therefore, minimally invasive spine surgery has gained popularity when managing patients with these complex spine disorders. [10][11][12][13] AS and DISH are often thought of as one entity; however, these disorders differ in terms of outcomes, number and type of surgical complications, and mortality rates in the conventional open approach.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Outcomes in Percutaneous Fixation of Traumatic Fractures between Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis

McCarty

Bruckner

Camacho

et al. 2021

Global Spine Journal

View full text Add to dashboard Cite

Study Design Retrospective cohort study. Objectives This study aims to analyze outcomes and complications of patients with thoracic and lumbar fractures in the setting of ankylosing spinal disorders (ASD) treated with minimally invasive surgery (MIS). Methods The operative logs from 2012 to 2019 from one academic, Level I trauma center were reviewed for cases of thoracic and lumbar spinal fractures in patients with ASD treated with a MIS approach. Variables were compared between patients with ankylosing spondylitis (AS), diffuse idiopathic skeletal hyperostosis (DISH), and advanced spondylosis. Results A total of 48 patients with ASD and concomitant thoracic or lumbar spinal fracture managed with an MIS approach were identified. A total of 11 patients were identified with AS, 21 with DISH, and 16 with advanced spondylosis. A total of 27 (56.3%) patients experienced complications. Complications differed between groups; DISH patients experienced a greater number of post-operative complications compared to AS and advanced spondylosis patients ( P = .009). There was no significant difference in length of surgery, estimated blood loss, length of stay, readmission, and reoperation rates between AS and DISH patients. There were 3 mortalities unrelated to the surgery. Conclusion Percutaneous stabilization of patients with ankylosing spinal disorder fractures remains a viable management method. Operative characteristics were similar between AS, DISH, and advanced spondylosis patients; however, DISH patients experienced a greater number of post-operative complications.

show abstract

Results of in situ fixation of Andersson lesion by posterior approach in 35 cases

et al. 2021

View full text Add to dashboard Cite

Minimally Invasive versus Conventional Open Surgery for Fixation of Spinal Fracture in Ankylosed Spine

Cited by 11 publications

References 28 publications

Reduction and Stabilization of an Extension-Distraction Injury in a Patient with Ankylosing Spondylitis

Reduction and Stabilization of an Extension-Distraction Injury in a Patient with Ankylosing Spondylitis

Comparison of Outcomes in Percutaneous Fixation of Traumatic Fractures between Ankylosing Spondylitis and Diffuse Idiopathic Skeletal Hyperostosis

Results of in situ fixation of Andersson lesion by posterior approach in 35 cases

Contact Info

Product

Resources

About