Surgical treatment of "chin-on-pubis" deformity in a patient with ankylosing spondylitis: a case report of consecutive cervical, thoracic, and lumbar corrective osteotomies

Spine
Ki-Tack KimJae-Hoon Lee

Abstract

A case report. To report the successful consecutive spinal osteotomies of multiple segments performed on a patient with extremely severe kyphotic deformity. There have been no reports on the experience and surgical strategy of spinal osteotomy on multiple segments for severe global spine deformity. A 48-year-old man, a patient with ankylosing spondylitis with "chin-on-pubis" deformity, underwent consecutive spinal osteotomies to correct the severe, fixed global kyphosis. The axial skeletons from the skull, all vertebrae, and both sacroiliac joints and hip joint were fused into a single bone. After both hip resectional arthroplasties for the first step, staged, sequential spinal osteotomies, including pedicle subtraction osteotomy (PSO) on C6, posterior vertebral column resection on T11-T12, and PSO on L3, were performed. Finally, both total hip arthoroplasties were performed. The chin-brow vertical angle improved from 140° to 15°. Correction angles of 45°, 70°, and 30° in the cervical, thoracic, and lumbar spines, respectively, were achieved without complication. At the last follow-up, excellent improvement in activities of daily living and horizontal gaze were achieved. This is the first report on C6 PSO and spinal osteotomies...Continue Reading

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Citations

Jun 19, 2013·Journal of Neurosurgery. Spine·Justin K ScheerUNKNOWN International Spine Study Group
Jul 9, 2013·Journal of Neurosurgery. Spine·Christopher P AmesUNKNOWN International Spine Study Group
Apr 9, 2013·Neurosurgery Clinics of North America·Justin K ScheerVedat Deviren
Aug 15, 2015·Journal of Neurosurgery. Spine·Christopher P AmesUNKNOWN International Spine Study Group
Nov 14, 2014·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·Ibrahim ObeidAnouar Bourghli
Aug 26, 2017·Journal of Neurosurgery. Spine·Matthew K TobinSergey Neckrysh
Jun 9, 2018·Der Orthopäde·Bassel G DieboVirginie Lafage
Jan 1, 2018·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·Heiko KollerWolfgang Hitzl
Jul 23, 2015·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·Tobias A MatteiDaniel R Fassett
Nov 2, 2019·Bone Research·Wei ZhuXisheng Weng
Oct 7, 2020·Neurospine·Darryl Lau, Christopher P Ames
Feb 1, 2021·World Neurosurgery·Aydin Gerilmez, Sait Naderi
Jun 13, 2021·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·Wei ZhangYichen Wang
Jul 7, 2021·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·Sayed Abdulla JamiFawad Ali
Oct 30, 2021·Journal of Orthopaedic Surgery·Justin K ScheerChristopher P Ames

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