Camargo F P, Cordeiro E N, Napoli M M
Clin Orthop Relat Res. 1986 Jul(208):157-67.
Of 66 cases of corrective lumbar osteotomy for ankylosing spondylitis, 59 were men and seven were women with a follow-up period of two to 30 years after surgery. Their ages ranged from 19 to 55 years. The deformity was corrected by a one-stage posterior osteotomy and decompression of the posterior elements of the spine. Postoperative ileus, nausea, vomiting, and urinary retention were the most common surgical complications. There were no cases of permanent neurological deficit. The one fatality occurred on the ninth postoperative day because of a ruptured aorta. The results were gratifying in the 65 remaining cases. These patients were pleased with the cosmetic results, improved gait, and ability to look straight ahead. In addition to the expanded field of vision, there was general improvement in the cardiorespiratory and gastrointestinal functions plus a better mental attitude. Patients over 55 years of age, patients with aortic calcification, poor medical risks, and patients with ankylosed hips (untreated with total hip arthroplasties) are contraindications for this operation.
在66例强直性脊柱炎矫正性腰椎截骨手术病例中，59例为男性，7例为女性，术后随访时间为2至30年。他们的年龄在19岁至55岁之间。通过一期后路截骨和脊柱后部结构减压来矫正畸形。术后肠梗阻、恶心、呕吐和尿潴留是最常见的手术并发症。没有永久性神经功能缺损的病例。1例死亡发生在术后第9天，原因是主动脉破裂。其余65例患者的结果令人满意。这些患者对外观效果改善、步态改善以及能够直视前方感到满意。除了视野扩大外，心肺和胃肠功能普遍改善，精神状态也更好。55岁以上的患者、有主动脉钙化的患者、手术风险差的患者以及髋关节强直（未接受全髋关节置换术治疗）的患者是该手术的禁忌证。
