Singh Malwin, Muhamad Ariffin Mohd Hisam, Tan Jin Aun, Sabri Suffian, Baharuddin Azmi
Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus. 2024 Sep 24;16(9):e70091. doi: 10.7759/cureus.70091. eCollection 2024 Sep.
Ankylosing spondylitis (AS) is a chronic inflammatory disorder characterized by progressive spinal stiffness and deformity, primarily affecting the sacroiliac joints, spine, and pelvis. In advanced cases, untreated AS can lead to severe kyphosis, resulting in debilitating functional impairment and a significantly reduced quality of life. We present a case of a patient with a fixed thoracolumbar kyphotic deformity that severely affected his daily function. He underwent an L1 and L4 pedicle subtraction osteotomy (PSO) and posterior spinal instrumentation. This case highlights the challenges associated with correcting rigid spinal deformities in AS patients, where surgical intervention is often the only option to restore function and quality of life. Despite the high risk of complications, advancements in surgical techniques and implants have improved outcomes even in the most complex cases. Detailed preoperative planning, precise surgical execution, and cautious postoperative management are crucial for successful outcomes in such high-risk procedures.
强直性脊柱炎（AS）是一种慢性炎症性疾病，其特征为进行性脊柱僵硬和畸形，主要影响骶髂关节、脊柱和骨盆。在晚期病例中，未经治疗的AS可导致严重驼背，造成功能障碍并显著降低生活质量。我们报告一例患有固定性胸腰椎后凸畸形的患者，该畸形严重影响其日常功能。他接受了L1和L4椎体截骨术（PSO）及后路脊柱内固定术。该病例突出了AS患者矫正僵硬脊柱畸形所面临的挑战，在这种情况下手术干预往往是恢复功能和生活质量的唯一选择。尽管并发症风险很高，但手术技术和植入物的进步即使在最复杂的病例中也改善了治疗效果。详细的术前规划、精确的手术操作以及谨慎的术后管理对于此类高风险手术的成功结果至关重要。
