Zhang Heng, Hu Jianhua, Zhang Chao, Yang Zhao, Gao Ming, Zhao Hongbin
The Affiliated Hospital of Kunming University of Science and Technology, The First People's Hospital of Yunnan Province.
Department of Orthopedics and Yunnan Key Laboratory of Digital Orthopaedics, The First People's Hospital of Yunnan Province, Kunhua Hospital affiliated to Kunming Science and Technology University.
Ann Med Surg (Lond). 2023 Apr 18;85(5):1420-1424. doi: 10.1097/MS9.0000000000000674. eCollection 2023 May.
To study the diagnosis and surgical treatment of thoracic-lumbar Andersson lesions among patients with ankylosing spondylitis.
We retrospectively collected data from all patients with spine Andersson lesions from 2010 to 2020 and follow-up patients who received surgical treatment. One of the patients was misdiagnosed as spinal tuberculosis but was diagnosed with Andersson lesion after reviewing the patient's postoperative data.
There were 11 patients with Andersson lesions, three females and eight males. Four patients received conservative treatment, and six patients received posterior long-segment pedicle screw fixation, one patient received anterior lumbar fusion. One patient occurred neurologic impairment. All other patients recovered well and spine pain disappeared. There was no surgical infection.
Andersson lesions among patients with ankylosing spondylitis could be treated with posterior long-segment pedicle screw fixation. And it should be differentiated between spine infection and spine tuberculosis.
研究强直性脊柱炎患者胸腰椎安德森病变的诊断及外科治疗。
我们回顾性收集了2010年至2020年所有患有脊柱安德森病变的患者以及接受手术治疗的随访患者的数据。其中1例患者最初被误诊为脊柱结核，但在复查术后资料后被诊断为安德森病变。
共有11例安德森病变患者，女性3例，男性8例。4例患者接受保守治疗，6例患者接受后路长节段椎弓根螺钉内固定，1例患者接受前路腰椎融合术。1例患者出现神经功能障碍。其他所有患者恢复良好，脊柱疼痛消失。无手术感染发生。
强直性脊柱炎患者的安德森病变可采用后路长节段椎弓根螺钉内固定治疗。并且应鉴别脊柱感染与脊柱结核。
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