Spinal Osteotomy and Total Hip Replacement for Ankylosing Spondylitis: Which Prior to Perform

  • Guoquan Zheng
  • Diyu Song
  • Zhijun Xin
  • Yan Wang


Ankylosing spondylitis (AS) is a common inflammatory rheumatic disease involving primarily the sacroiliac joints, axial skeleton, hips, and, less commonly, knee joints [1–3]. About 18.5% to 20% of patients with AS have radiographic evidence of spinal fusion [4]. A thoracic hyperkyphosis combined with a flattening of the lumbar lordosis may be the characteristic spinal deformity in the later stages of AS, which results in structural and functional impairments and even causes the patient’s forward gaze to be affected. The most common spinal deformity which can lead to sagittal imbalance is a rigid thoracolumbar kyphosis (TLK).


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Guoquan Zheng
    • 1
  • Diyu Song
    • 1
  • Zhijun Xin
    • 1
  • Yan Wang
    • 1
  1. 1.Chinese PLA General HospitalBeijingChina

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