Volume 8, Issue 6, November 2019, Page: 131-136
The Effect of Kyphosis Correction for Ankylosing Spondylitis by Hilus Pulmonis Approach
Li Shaojin, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Luo Jianxian, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Ji Zhisheng, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yang Yuhao, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Zhang Guowei, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yang Hua, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Lin Hongsheng, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Received: Oct. 16, 2019;       Accepted: Oct. 25, 2019;       Published: Oct. 30, 2019
DOI: 10.11648/j.cmr.20190806.11      View  27      Downloads  10
Abstract
The efficacy of application of Hilus pulmonic in guiding of kyphosis correction was explored by radiographic parameters and the quality of life scores of AS kyphosis patients. A retrospective analysis was performed with patients that were diagnosed as ankylosing spondylitis with kyphosis and using the hilus pulmonic to guide kyphosis correction. A total of 16 cases, 15 males and 1 female, were enrolled. The spine-pelvic imaging parameter, the SRS-22 score and ODI dysfunction score were recorded and analyzed at pre-operation and post-operation. The post-operation spine-pelvic parameters PT, SS, GK, TLK, LL, SVA and TPA were all improved compared with preoperative parameters (P < 0.05). SRS-22 score and ODI score were significantly improved after osteotomy (P < 0.05). After using the Hilus pulmonic to guide kyphosis correction, patients with AS kyphosis can obtain good radiographic parameters and physical activity ability score, and can meet the functions of head-up, standing, sitting and lying in patients after orthopedic surgery. PT、SVA、GK and TPA have significant influences on the quality of life of patients with AS kyphosis. Correcting spine-pelvic imaging parameters is important guarantees of higher quality of life after surgery.
Keywords
Ankylosing Spondylitis, Kyphosis, Hilus Pulmonis Approach, Osteotomy Design
To cite this article
Li Shaojin, Luo Jianxian, Ji Zhisheng, Yang Yuhao, Zhang Guowei, Yang Hua, Lin Hongsheng, The Effect of Kyphosis Correction for Ankylosing Spondylitis by Hilus Pulmonis Approach, Clinical Medicine Research. Vol. 8, No. 6, 2019, pp. 131-136. doi: 10.11648/j.cmr.20190806.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Braun J, Sieper J. Ankylosing spondylitis [J]. Lancet. 2007, 369 (9570): 1369-1390.
[2]
%Webers. C, Vanhoof L, Leue C. Depression in ankylosing spondylitis and the role of disease-related and contextual factors: a cross-sectional study. [J]. Arthrirtis Res Ther 2019, (21) 10: 215.
[3]
%Fei H, Li W S, Sun Z R, et al. Effect of patient position on the lordosis and scoliosis of patients with degenerative lumbar scoliosis [J]. Medicine, 2017, 96 (32): e7648.
[4]
%Debarge R, Demey G, Roussouly P. Sagittal balance analysis after pedicle subtraction osteotomy in ankylosing spondylitis [J]. European Spine Journal. 2011, 20 (5 Supplement): 619-625.
[5]
%Song K, Zheng G, Zhang Y, et al. Hilus pulmonis as the center of gravity for AS thoracolumbar kyphosis [J]. Eur Spine J. 2014, 23 (12): 2743-2750.
[6]
%Vialle R, Levassor N, Rillardon L, et al. Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects [J]. J Bone Joint Surg Am. 2005, 87 (2): 260-267.
[7]
%Song K, Zheng G, Zhang Y, et al. A new method for calcu-lating the exact angle required for spinal osteotomy [J]. Spine, 2013, 38 (10): E616-620.
[8]
%2013, 38 (10): E616-620. Debarge R, Demey G, Roussouly P. Radiological analysis of ankylosing spondylitis patients with severe kyphosis before and after pedicle subtraction osteotomy [J]. Eur Spine J, 2010, 19 (1): 65-70.
[9]
%Legaye J, Duval-Beaupère G, Hecquet J, et al. Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves [J]. European Spine Journal. 1998, 7 (2): 99-103.
[10]
%Hu J, Ji ML, Qian BP, et al. Can pelvic tilt be predicated by the sacrofemoral-Pubic angel in patients with thoracolumbar kyphosis secondary to ankylosing spondylitis [J]. Spine. 2014, 39 (23): E1347-1352.
[11]
%Lafage V. Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity [J]. Spine (Phila Pa 1976). 2009, 34 (17): E599-606.
[12]
%Lafage V, Schwab F, Vira S, et al. Does vertebral level of pedicle subtraction osteotomy correlate with degree of spinopelvic parameter correction [J]. J Neurosurg Spine. 2011, 14 (2): 184-191.
[13]
%Qian BP, Jiang J, Qiu Y, et al. Radiographical predictors for postoperative sagittal Imbalance in patients With thoracolumbar kyphosis secondary to ankylosing spondylitis after lumbar pedicle subtraction osteotomy [J]. Spine. 2013, 38 (26): E1669-1675.
[14]
%Simon J, Longis PM, Passuti N. Correlation between radiographic parameters and functional scores in degenerative lumbar andthoracolumbar scoliosis [J]. Orthopaedics & Traumatology. 2017, 2 (4): 182-187.
[15]
%Glassman SD, Bridwell K, Dimar JR, et al. The impact of positive sagittal balance in adult spinal deformity [J]. Spine. 2004, 4 (5): S113-114.
[16]
%Christopher J. Sorensen, MS, et al. Is lumbar lordosis related to low back pain development during nrolonged standing? [J]. Man Ther. 2015, 20 (4): 553-557.
[17]
%Chang KW, Chen YY, Lin CC, et al. Closing wedge osteotomy versus opening wedge osteotomy in ankylosing spondylitis with thoracolumbar kyphotic deformity [J]. Spine. 2005, 30 (14): 1584-1593.
[18]
%Ryan DJ, Protopsaltis TS, Ames CP, et al. T1 pelvic angle (TPA) effectively evaluates sagittal deformity and assesses radiographical surgical outcomes longitudinally [J]. Spine. 2014, 39 (15): 1203-1210.
Browse journals by subject