Ankylosing spondylitis: Experience in surgical management of 21 patients

David S. Bradford, Walter L. Schumacher, John E. Lonstein, Robert B. Winter

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Between 1976 and 1984, twenty-one patients with ankylosing spondylitis were treated surgically. Eight patients with rigid thoracic kyphosis underwent a two-stage combined procedure. The average correction was 36°. Eight patients underwent a single-stage lumbar osteotomy with Harrington compression instrumentation. The average correction was 31°. Five patients presented with stress fractures and back pain. All underwent combined anterior and posterior surgery. The average correction was 9°. Two patients underwent anterior decompression for progressive paraplegia. Both showed improvement in neurologic function. At follow-up, all but one patient had improvement in pain and spinal alignment. There have been no deaths or persistent neurologic problems from these procedures.

Original languageEnglish (US)
Pages (from-to)238-243
Number of pages6
JournalSpine
Volume12
Issue number3
DOIs
StatePublished - Apr 1987

Keywords

  • Ankylosing spondylitis
  • Deformity
  • Pain
  • Surgery

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