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Research ArticleMinimally Invasive Surgery

Minimally Invasive Surgery for Thoracolumbar Spinal Fractures in Patients With Ankylosing Spondylitis

Johan Wänman, Fabian Burmeister, David Thorell, Tobias Kyrk, Simon Blixt, Paul Gerdhem, Sebastian Mukka and Lukas Bobinski
International Journal of Spine Surgery August 2023, 17 (4) 526-533; DOI: https://doi.org/10.14444/8478
Johan Wänman
1 Department of Surgical and Perioperative Sciences (Orthopedics), Umeå University, Umeå, Sweden
MD, PHD
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  • For correspondence: johan.wanman@umu.se
Fabian Burmeister
1 Department of Surgical and Perioperative Sciences (Orthopedics), Umeå University, Umeå, Sweden
MD
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David Thorell
1 Department of Surgical and Perioperative Sciences (Orthopedics), Umeå University, Umeå, Sweden
MD
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Tobias Kyrk
1 Department of Surgical and Perioperative Sciences (Orthopedics), Umeå University, Umeå, Sweden
MD
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Simon Blixt
2 Department of Clinical Science Intervention and Technology, Karolinska Institutet, Sweden
MD
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Paul Gerdhem
2 Department of Clinical Science Intervention and Technology, Karolinska Institutet, Sweden
3 Department of Hand Surgery and Orthopaedics, Uppsala University Hospital, Sweden
4 Department of Surgical Sciences, Uppsala University, Sweden
MD, PHD
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Sebastian Mukka
1 Department of Surgical and Perioperative Sciences (Orthopedics), Umeå University, Umeå, Sweden
MD, PHD
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Lukas Bobinski
1 Department of Surgical and Perioperative Sciences (Orthopedics), Umeå University, Umeå, Sweden
MD, PHD
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    Flowchart of patients. AS, ankylosing spondylitis; DISH, diffuse idiopathic skeletal hyperostosis; MIS, minimally invasive surgery; SI, sacroiliac.

  • Figure 2
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    Figure 2

    Preoperative and 1 y postoperative computed tomographic images.

Tables

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    Table 1

    Clinical characteristics of patients undergoing minimally invasive surgery for ankylosing spondylitis.

    Characteristics n
    Age at surgery, y, median (range)73 (38–89)
    Sex, male39
    American Society of Anesthesiologists classification
     1–217
     3–426
    Comorbidity
     Hypertension23
     Diabetes mellitus10
     Coronary artery disease10
     Lung disease8
      Asthma5
      Chronic obstructive pulmonary disease3
     Malignancy7
     Neurological disease
      Cerebellar ataxia1
      Dementia2
      Cerebrovascular disease2
     Alcohol abuse4
    • Note: Data presented as n unless otherwise noted.

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    Table 2

    Details on surgery, levels of fixation, and trauma (N = 43).

    Operative Details n
    Surgery duration, min, median (range)140 (80–300)
    Perioperative blood loss, mL, median (range)100 (50–410)
    AO/OTA
     B22
     B341
    Level of fixation
     ≤524
     615
     ≥74
    Trauma mechanism
     Low energy33
     High energy10
    • Abbreviation: OTA, Orthopaedic Trauma Association.

    • Note: Data presented as n unless otherwise noted.

    • View popup
    Table 3

    Medical and surgical complications.

    Complication n
    Medical complications
     Pneumonia2
     Pulmonary embolism1
     Paralytic ileus1b
     Heart failure2a,b
     Kidney failure2a,b
     Deep venous thrombosis1
     Delirium1
    Surgical complications
     Superficial wound infection1
     Deep infection with screw loosening and revision2
     Mechanical failure0
     Pressure ulcer1
     Nonfusion at 1 y1
    • ↵a Paralytic ileus with cardiac arrest; died days after surgery.

    • ↵b Patient with both heart and kidney failure after surgery.

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International Journal of Spine Surgery
Vol. 17, Issue 4
1 Aug 2023
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Minimally Invasive Surgery for Thoracolumbar Spinal Fractures in Patients With Ankylosing Spondylitis
Johan Wänman, Fabian Burmeister, David Thorell, Tobias Kyrk, Simon Blixt, Paul Gerdhem, Sebastian Mukka, Lukas Bobinski
International Journal of Spine Surgery Aug 2023, 17 (4) 526-533; DOI: 10.14444/8478

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Minimally Invasive Surgery for Thoracolumbar Spinal Fractures in Patients With Ankylosing Spondylitis
Johan Wänman, Fabian Burmeister, David Thorell, Tobias Kyrk, Simon Blixt, Paul Gerdhem, Sebastian Mukka, Lukas Bobinski
International Journal of Spine Surgery Aug 2023, 17 (4) 526-533; DOI: 10.14444/8478
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  • thoracolumbar fractures

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