Management of cervical deformity in ankylosing spondylitis

Daniel J. Hoh, Paul Khoueir, Michael Y. Wang

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Ankylosing spondylitis can lead to severe cervical kyphosis, causing problems with forward vision, swallowing, hygiene, patient functionality, and social outlook. Evaluation of patients with cervical flexion deformity includes assessment of global sagittal balance and chin-brow angle. The primary treatment in extreme disabling cases is surgical correction involving a posterior cervical extension osteotomy, which is a technically demanding procedure with considerable risk of neurological injury. To address the potential complications with extension osteotomy, the authors of several reports have described modifications to the surgical technique. These developments incorporate recent advances in anesthesia, neuromonitoring, and spinal instrumentation. Complications associated with the procedure include subluxation at the osteotomy level, spinal cord injury, radiculopathy, dysphagia, and pseudarthrosis. Although the risks of spinal correction are considerable, extension osteotomy remains an effective treatment modality for patients with disabling cervical flexion deformity.

Original languageEnglish
Article numberE9
JournalNeurosurgical Focus
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

Fingerprint

Ankylosing Spondylitis
Osteotomy
Chin
Kyphosis
Pseudarthrosis
Radiculopathy
Spinal Anesthesia
Deglutition
Deglutition Disorders
Hygiene
Spinal Cord Injuries
Wounds and Injuries
Therapeutics

Keywords

  • Ankylosing spondylitis
  • Cervical kyphosis
  • Chin-on-chest deformity
  • Spinal deformity
  • Surgical correction
  • Surgical technique

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Management of cervical deformity in ankylosing spondylitis. / Hoh, Daniel J.; Khoueir, Paul; Wang, Michael Y.

In: Neurosurgical Focus, Vol. 24, No. 1, E9, 01.01.2008.

Research output: Contribution to journalArticle

Hoh, Daniel J. ; Khoueir, Paul ; Wang, Michael Y. / Management of cervical deformity in ankylosing spondylitis. In: Neurosurgical Focus. 2008 ; Vol. 24, No. 1.
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