Clinical Study

Transpseudarthrosis Osteotomy with Interbody Fusion for Kyphotic Spinal Pseudarthrosis in Ankylosing Spondylitis by a Single Posterior Approach: A Retrospective Study and a Brief Relevant Literature Review

Table 3

Results of different osteotomy for spinal pseudarthrosis complicating AS reported in literature and in the current study.

Author (year)Surgical methodClinical/radiological outcomeBlood LossComplicationsApproach

Zhang and Zheng [13]OWO without anterior fusionA mean correction of 38° for local kyphosisNot mentionedPostoperation pneumonia in 1 patientPosterior approach
Kim et al. [15]SPO or PSO with anterior interbody fusion in one stage or two stagesThe mean correction was 20.9° with SPO and 26.3° with PSONot mentionedDura tears in 3 patientsCombined posterior and anterior approach
Chang et al. [17]PSO through pseudarthrosis with two-stage anterior interbody fusion in two stagesA mean correction of 36.2° for local kyphosisA mean blood loss in PSO was 2200 ml and 470 ml in anterior fusionNoneCombined posterior and anterior approach
Qian et al. [18]Anterior fusion and posterior internal fixationA mean correction of 12° for local kyphosis in intervertebral space fracture patientsNot mentionedNoneCombined posterior and anterior approach
Current studyposterior reduction and transpseudarthrosis osteotomy with interbody fusionThe mean correction of 22.3° for local kyphosisThe mean blood loss was 817.5 mlDura tears in 1 patient and screws pullout in 1 patientPosterior approach