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Closing wedge osteotomy with transpedicular fixation in ankylosing spondylitis
D Jaffray1, V Becker, S Eisenstein
1Department of Spinal Disorders, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, United Kingdom.
Clinical Orthopaedics and Related Research
|June 1, 1992
Summary
A new posterior closing wedge osteotomy with transpedicular fixation offers a safer, controlled alternative for correcting spinal deformities in ankylosing spondylitis, improving upon the older Smith-Petersen technique.
Area of Science:
- Spine surgery
- Orthopedic surgery
- Surgical techniques
Background:
- The Smith-Petersen anterior opening wedge osteotomy is the standard surgical correction for spinal deformity in ankylosing spondylitis.
- This established technique has significant drawbacks, including a 10% mortality rate, reliance on force, lack of control, and weak fixation.
Observation:
- A novel posterior closing wedge osteotomy technique has been developed.
- This new procedure incorporates transpedicular fixation for enhanced stability.
Findings:
- The posterior closing wedge osteotomy with transpedicular fixation is a controlled surgical method.
- It offers improved safety and secure fixation compared to the anterior approach.
Implications:
- This technique presents a safer and more reliable surgical option for managing spinal deformities in ankylosing spondylitis.
- It addresses the limitations of the traditional Smith-Petersen osteotomy, potentially reducing surgical risks and improving patient outcomes.
