Ankylosing spondylitis surgery

Jump to navigation Jump to search

Ankylosing spondylitis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Ankylosing spondylitis from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Ankylosing spondylitis surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Ankylosing spondylitis surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Ankylosing spondylitis surgery

CDC on Ankylosing spondylitis surgery

Ankylosing spondylitis surgery in the news

Blogs on Ankylosing spondylitis surgery

Directions to Hospitals Treating Ankylosing spondylitis

Risk calculators and risk factors for Ankylosing spondylitis surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgery is not the first-line treatment option for patients with ankylosing spondylitis.Surgical options, such as knee and hip replacements, can be an option for patients with ankylosing spondylitis. Surgical correction is also possible for those with severe flexion deformities, such as a severe downward curvature of the spine.

Surgery

  • Surgery is not the first-line treatment option for patients with ankylosing spondylitis. Surgery is usually reserved for  selected patients with ankylosing spondylitis.
Total hip arthroplasty(THA)[1][2]
  • Hip involvement is seen more common in ankylosing spondylitis patients with early onset of disease.
  • Total hip arthroplasty(THA) surgery is usually reserved for patients with either:[3][4]
    • Severe and persistent pain that does not respond to drugs.
    • Severe limitation in mobility of affected joint.
    • Decreased quality of life due to hip involvement.
  • THA at a mean age of 40 years shows excellent long-term results.[5]

Spinal surgery[6] 

  • Patients who are having flexion deformities that are severe enough to impair daily activities can undergo Wedge osteotomy.[7]
  • Spinal surgeon consultation is indicated in the following
    • In the event of vertebral fractures.
    • Unusual neck or back pain.

References

  1. Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, Boonen A, Vazquez-Mellado J, Flores D, Vastesaeger N, Collantes E (January 2010). "Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery". Rheumatology (Oxford). 49 (1): 73–81. doi:10.1093/rheumatology/kep174. PMID 19605374.
  2. Chen HA, Chen CH, Liao HT, Lin YJ, Chen PC, Chen WS, Chou CT (June 2011). "Factors associated with radiographic spinal involvement and hip involvement in ankylosing spondylitis". Semin. Arthritis Rheum. 40 (6): 552–8. doi:10.1016/j.semarthrit.2010.07.008. PMID 20870274.
  3. Vander Cruyssen B, Muñoz-Gomariz E, Font P, Mulero J, de Vlam K, Boonen A, Vazquez-Mellado J, Flores D, Vastesaeger N, Collantes E (January 2010). "Hip involvement in ankylosing spondylitis: epidemiology and risk factors associated with hip replacement surgery". Rheumatology (Oxford). 49 (1): 73–81. doi:10.1093/rheumatology/kep174. PMID 19605374.
  4. Joshi AB, Markovic L, Hardinge K, Murphy JC (June 2002). "Total hip arthroplasty in ankylosing spondylitis: an analysis of 181 hips". J Arthroplasty. 17 (4): 427–33. PMID 12066271.
  5. Sweeney S, Gupta R, Taylor G, Calin A (August 2001). "Total hip arthroplasty in ankylosing spondylitis: outcome in 340 patients". J. Rheumatol. 28 (8): 1862–6. PMID 11508591.
  6. Ravinsky RA, Ouellet JA, Brodt ED, Dettori JR (April 2013). "Vertebral Osteotomies in Ankylosing Spondylitis-Comparison of Outcomes Following Closing Wedge Osteotomy versus Opening Wedge Osteotomy: A Systematic Review". Evid Based Spine Care J. 4 (1): 18–29. doi:10.1055/s-0033-1341604. PMC 3699248. PMID 24436696.
  7. Kim KT, Park DH, Lee SH, Lee JH (September 2015). "Results of Corrective Osteotomy and Treatment Strategy for Ankylosing Spondylitis with Kyphotic Deformity". Clin Orthop Surg. 7 (3): 330–6. doi:10.4055/cios.2015.7.3.330. PMC 4553281. PMID 26330955.

Template:WH Template:WS