Wang H F, Bi C, Chen Z Q
Department of Spine Surgery, Fuzhou Second Hospital of Xiamen University, Fuzhou 350007, China.
Zhonghua Wai Ke Za Zhi. 2017 Oct 1;55(10):798-800. doi: 10.3760/cma.j.issn.0529-5815.2017.10.020.
Andersson lesion is a destructive vertebral or disco-vertebral lesion that occurs in the late stage of the ankylosing spondylitis. According to the etiology, these lesions are usually classified into localized lesions and extensive lesions. The history of ankylosing spondylitis and characteristic imaging is the key to the diagnosis of Andersson lesion. Conservative treatment may be effective for localized lesions. However, surgical intervention is often required for the failure of conservative treatment and extensive lesions. Currently, the optimal procedure for this problem is spinal osteotomy through pseudarthrosis and debridement via posterior-only approach.
安德森病变是一种发生在强直性脊柱炎晚期的椎体或椎间盘椎体破坏性病变。根据病因，这些病变通常分为局限性病变和广泛性病变。强直性脊柱炎病史和特征性影像学表现是安德森病变诊断的关键。保守治疗对局限性病变可能有效。然而，对于保守治疗失败和广泛性病变，通常需要手术干预。目前，针对这个问题的最佳手术方法是通过假关节进行脊柱截骨术，并采用单纯后路清创术。
