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Sagittal Translation During Osteotomy

  • Xuesong Zhang
  • Fanqi Hu
  • Yongyu Hao
  • Yan Wang
Chapter

Abstract

Sagittal translation (ST) is an accidental event that surgeons commonly encounter during spinal osteotomy in ankylosing spondylitis kyphosis. As a displacement developed at the level of osteotomy intraoperatively and postoperatively, sagittal translation (ST) had been recorded in all of the osteotomy methods [1–4] since Chang et al. [5] first reported it in spinal osteotomy surgery (Fig. 13.1).

References

  1. 1.
    Chang KW, Cheng CW, Chen HC, Chang KI, Chen TC. Closing-opening wedge osteotomy for the treatment of sagittal imbalance. Spine (Phila Pa 1976). 2008;33(13):1470–7.CrossRefGoogle Scholar
  2. 2.
    O’shaughnessy BA, Kuklo TR, Hsieh PC, Yang BP, Koski TR, Ondra SL. Thoracic pedicle subtraction osteotomy for fixed sagittal spinal deformity. Spine (Phila Pa 1976). 2009;34(26):2893–9.CrossRefGoogle Scholar
  3. 3.
    Wang Y, Zhang Y, Mao K, et al. Transpedicular bivertebrae wedge osteotomy and discectomy in lumbar spine for severe ankylosing spondylitis. J Spinal Disord Tech. 2010;23(3):186–91.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Zhang X, Zhang Z, Wang J, et al. Vertebral column decancellation: a new spinal osteotomy technique for correcting rigid thoracolumbar kyphosis in patients with ankylosing spondylitis. Bone Joint J. 2016;98-B(5):672–8.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Chang KW, Chen HC, Chen YY, Lin CC, Hsu HL, Cai YH. Sagittal translation in opening wedge osteotomy for the correction of thoracolumbar kyphotic deformity in ankylosing spondylitis. Spine (Phila Pa 1976). 2006;31(10):1137–42.CrossRefGoogle Scholar
  6. 6.
    Zhang N, Li H, Xu ZK, Chen WS, Chen QX, Li FC. Computer simulation of two-level pedicle subtraction osteotomy for severe thoracolumbar kyphosis in ankylosing spondylitis. Indian J Orthop. 2017;51(6):666–71.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Hu W, Yu J, Liu H, Zhang X, Wang Y. Y shape osteotomy in ankylosing spondylitis, a prospective case series with minimum 2 year follow-up. PLoS One. 2016;11(12):e0167792.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Yang J, Huang Z, Grevitt M, Li J, Li F, Yang J. The precise bending rod technique: a novel method for precise correction of ankylosing spondylitis kyphosis. Clin Spine Surg. 2016;29(9):E452–6.CrossRefPubMedGoogle Scholar
  9. 9.
    Zhao Y, Xu H, Zhang Y, Wang Z, Zhang X, Wang Y. Comparison of two surgeries in treatment of severe kyphotic deformity caused by ankylosing spondylitis: Transpedicular bivertebrae wedge osteotomy versus one-stage interrupted two-level transpedicular wedge osteotomy. Clin Neurol Neurosurg. 2015;139:252–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Yıldız F, Akgül T, Ekinci M, Dikici F, Şar C, Domaniç Ü. Results of closing wedge osteotomy in the treatment of sagittal imbalance due to ankylosing spondylitis. Acta Orthop Traumatol Turc. 2016;50(1):63–8.PubMedGoogle Scholar
  11. 11.
    Qian BP, Wang XH, Qiu Y, et al. The influence of closing-opening wedge osteotomy on sagittal balance in thoracolumbar kyphosis secondary to ankylosing spondylitis: a comparison with closing wedge osteotomy. Spine (Phila Pa 1976). 2012;37(16):1415–23.CrossRefGoogle Scholar
  12. 12.
    Gavaskar AS, Naveen CT. Pedicle subtraction osteotomy for rigid kyphosis of the dorsolumbar spine. Arch Orthop Trauma Surg. 2011;131(6):803–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Hyun SJ, Kim YJ, Rhim SC. Spinal pedicle subtraction osteotomy for fixed sagittal imbalance patients. World J Clin Cases. 2013;1(8):242–8.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Qian BP, Mao SH, Jiang J, Wang B, Qiu Y. Mechanisms, predisposing factors, and prognosis of intraoperative vertebral subluxation during pedicle subtraction osteotomy in surgical correction of thoracolumbar kyphosis secondary to ankylosing spondylitis. Spine (Phila Pa 1976). 2017;42(16):E983–90.CrossRefGoogle Scholar
  15. 15.
    Arun R, Dabke HV, Mehdian H. Comparison of three types of lumbar osteotomy for ankylosing spondylitis: a case series and evolution of a safe technique for instrumented reduction. Eur Spine J. 2011;20(12):2252–60.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Xuesong Zhang
    • 1
  • Fanqi Hu
    • 1
  • Yongyu Hao
    • 1
  • Yan Wang
    • 1
  1. 1.Chinese PLA General HospitalBeijingChina

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