Orthopedics & Traumatology
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
A Case of Closed Wedge Vertebral Osteotomy for Kyphosis in Ankylosing Spondylitis
Toru Asakura, Toshio Doi, Katsumi Harimaya, Yoshihiro Matsumoto, Yukihide Iwamoto
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Keywords: ankylosing spondylitis, kyphosis, osteotomy
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2010 Volume 59 Issue 2 Pages 372-375

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Abstract
We report a case of closed wedge vertebral osteotomy for kyphosis in ankylosing spondylitis. A 49-year-old man, diagnosed with ankylosing spondylitis at 25 years old, underwent L4-S1 PLIF at 42. After the surgery, he had compression fracture in L2. He gradually developed spinal kyphotic deformity and lost horizontal gaze. We performed closed wedge vertebral osteotomy in L2 and instrumentation from T8 to S1. The patient regained horizontal gaze. This method does not open the anterior edge of the vertebra but shortens the vertebral body posteriorly. It is a relatively safe method because it is not accompanied by serious vascular complications.
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© 2010 West-Japanese Society of Orthopedics & Traumatology
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