Table 2.
Results of pedicle subtraction osteotomy for spinal pseudarthrosis complicating ankylosing spondylitis reported in the literature and in the current study
Author (year) | No. cases operated | Surgical method | Clinical/radiological outcome | Complications |
---|---|---|---|---|
Chang [4] (2006) | 30 | Posterior opening-wedge osteotomy | A mean correction of 38° for local kyphosis | Postoperative pneumonia in 1 patient Superficial infection in 1 patient |
Van Royen [23] (2006) | 2 | Transpedicular wedge resection osteotomy | The correction of kyphosis was 24° and 31°, respectively | Incomplete neurological deficit in 1 patient |
Kim [16] (2007) | 12 | Smith-Petersen osteotomy or pedicle subtraction osteotomy with anterior interbody fusion in one-stage or two-stage | The mean correction was 20.9° with Smith-Petersen osteotomy and 26.3° with pedicle subtraction osteotomy | Dural tears in 3 cases Leg pain with paresthesia in 2 patients Early deep wound infection in 1 patient |
Current study | 7 | Pedicle subtraction osteotomy through pseudarthrosis combined with anterior interbody fusion | The kyphosis was corrected from 75º to 30º, with a mean correction of 45º. Solid bony fusion achieved at the final follow-up | No perioperative complications |