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Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review
RATIONALE: Andersson lesion (AL), a phenomenon initially described by Andersson nearly 80 years ago, has been the subject of extensive research and various treatment modalities. The ongoing debate surrounding the need for anterior surgery in AL cases has spurred numerous proposed approaches. Despite...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519511/ https://www.ncbi.nlm.nih.gov/pubmed/37746956 http://dx.doi.org/10.1097/MD.0000000000035378 |
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author | Dong, Wei-Xin Chu, Zhen-Tao Hu, Yong |
author_facet | Dong, Wei-Xin Chu, Zhen-Tao Hu, Yong |
author_sort | Dong, Wei-Xin |
collection | PubMed |
description | RATIONALE: Andersson lesion (AL), a phenomenon initially described by Andersson nearly 80 years ago, has been the subject of extensive research and various treatment modalities. The ongoing debate surrounding the need for anterior surgery in AL cases has spurred numerous proposed approaches. Despite the demonstrated efficacy of anterior surgery in achieving fusion and stabilization, its implementation is associated with prolonged operation time and heightened intraoperative bleeding. PATIENT CONCERNS: A 32-year-old male patient presented at our hospital in February 2019 with a 2-month history of bilateral lower extremity weakness and sensory disturbances. These symptoms were exacerbated by a recent fall. DIAGNOSIS: AL conbined with ankylosing spondylitis. INTERVENTIONS: A 1-stage posterior fixation and decompression procedure was performed to ensure spinal stability, minimize deformities, and reduce surgical trauma. To achieve these goals, a 2-stage approach was employed, which included video-assisted thoracoscope-guided vertebrectomy, spinal canal decompression, and bone graft fusion. OUTCOMES: No recurrences of significant pain, limb numbness, or other symptoms were reported, ultimately leading to an improved quality of life for the patient. LESSONS: We utilized video-assisted thoracoscopic surgery technology for anterior bone graft fusion in a patient with AL to minimize the trauma of secondary surgery. However, the 3-year follow-up showed insufficient bony fusion at the fracture site. Nevertheless, the patient maintained spinal stability with posterior internal fixation and no significant kyphosis or symptoms. Thus, standalone posterior fixation may suffice for favorable clinical outcomes in patients with AL. |
format | Online Article Text |
id | pubmed-10519511 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-105195112023-09-26 Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review Dong, Wei-Xin Chu, Zhen-Tao Hu, Yong Medicine (Baltimore) 7100 RATIONALE: Andersson lesion (AL), a phenomenon initially described by Andersson nearly 80 years ago, has been the subject of extensive research and various treatment modalities. The ongoing debate surrounding the need for anterior surgery in AL cases has spurred numerous proposed approaches. Despite the demonstrated efficacy of anterior surgery in achieving fusion and stabilization, its implementation is associated with prolonged operation time and heightened intraoperative bleeding. PATIENT CONCERNS: A 32-year-old male patient presented at our hospital in February 2019 with a 2-month history of bilateral lower extremity weakness and sensory disturbances. These symptoms were exacerbated by a recent fall. DIAGNOSIS: AL conbined with ankylosing spondylitis. INTERVENTIONS: A 1-stage posterior fixation and decompression procedure was performed to ensure spinal stability, minimize deformities, and reduce surgical trauma. To achieve these goals, a 2-stage approach was employed, which included video-assisted thoracoscope-guided vertebrectomy, spinal canal decompression, and bone graft fusion. OUTCOMES: No recurrences of significant pain, limb numbness, or other symptoms were reported, ultimately leading to an improved quality of life for the patient. LESSONS: We utilized video-assisted thoracoscopic surgery technology for anterior bone graft fusion in a patient with AL to minimize the trauma of secondary surgery. However, the 3-year follow-up showed insufficient bony fusion at the fracture site. Nevertheless, the patient maintained spinal stability with posterior internal fixation and no significant kyphosis or symptoms. Thus, standalone posterior fixation may suffice for favorable clinical outcomes in patients with AL. Lippincott Williams & Wilkins 2023-09-22 /pmc/articles/PMC10519511/ /pubmed/37746956 http://dx.doi.org/10.1097/MD.0000000000035378 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Dong, Wei-Xin Chu, Zhen-Tao Hu, Yong Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review |
title | Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review |
title_full | Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review |
title_fullStr | Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review |
title_full_unstemmed | Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review |
title_short | Video-assisted thoracoscopic surgery for Andersson lesion in ankylosing spondylitis: A case report and literature review |
title_sort | video-assisted thoracoscopic surgery for andersson lesion in ankylosing spondylitis: a case report and literature review |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519511/ https://www.ncbi.nlm.nih.gov/pubmed/37746956 http://dx.doi.org/10.1097/MD.0000000000035378 |
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