Surgical management of ankylosing spondylitis (Bechterew's disease)

Zeitschrift für Rheumatologie
H AllouchH Böhm

Abstract

Ankylosing spondylitis is an inflammatory rheumatic disease that is often associated with back pain and restricted spinal movement. In the later stages of the disease, complete ossification of the entire spine and severe deformity can occur, often resulting in a marked reduction in quality of life and an increased risk of loss of independence due to diminished visual field. Patients with ankylosing spondylitis are at greater risk of spinal fractures. These are generally complex fractures associated with high morbidity and mortality; in addition, neurological deficits are not unusual. Conventional radiological diagnosis is often insufficient to establish a diagnosis. Conservative treatment of fractures of the spine in this patient group is unsatisfactory. Surgical procedures, if necessary combined with decompression, are often the preferred treatment of choice in the fractured or malaligned ankylosed spine. Rebalancing of the sagittal profile with normalization of the visual axis and an improvement of quality of life is achieved through corrective osteotomies. Despite the high rate of complications, long-term results following spinal surgery in patients with ankylosing spondylitis are good. Minimally invasive surgery is appropri...Continue Reading

References

Apr 24, 2007·Lancet·Jürgen Braun, Joachim Sieper
Nov 21, 2007·Der Orthopäde·S RehartJ Sieper
Sep 16, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·L A WesterveldF C Oner
Apr 28, 2010·Spine·Troy CaronCarlo Bellabarba
May 5, 2011·Annals of the Rheumatic Diseases·J BraunD van der Heijde
Jun 28, 2011·The Journal of Bone and Joint Surgery. British Volume·Y-S ParkT-H Kim
Jun 19, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hong Qi ZhangMing Xing Tang
Sep 3, 2013·The Spine Journal : Official Journal of the North American Spine Society·L A WesterveldJ J Verlaan
May 8, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Cedric BarreyIbrahim Obeid
May 17, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ibrahim ObeidCédric Barrey
Mar 25, 2015·British Medical Bulletin·Umile Giuseppe LongoVincenzo Denaro
Aug 27, 2016·Der Orthopäde·M Henniger, S Rehart
Apr 30, 2017·Global Spine Journal·Varun PuvanesarajahHamid Hassanzadeh

❮ Previous
Next ❯

Citations

Nov 2, 2019·Bone Research·Wei ZhuXisheng Weng
Dec 29, 2020·Surgical Neurology International·Eduardo Augusto IunesAndrei Joaquim

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.