Results of in situ fixation of Andersson lesion by posterior approach in 35 cases
Study objective Due to the rarity of the Andersson lesion (AL), the literature is ambiguous regarding the type of surgical fixation, need for debridement and deformity correction. The purpose of this retrospective study is to evaluate the efficacy, feasibility and functional outcome of posterior fix...
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| Veröffentlicht in: | Musculoskeletal surgery 2022-12, Vol.106 (4), p.385-395 |
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| creator | Dave, B. R. Kulkarni, M. Patidar, V. Devanand, D. Mayi, S. Reddy, C. Singh, M. Rai, R. R. Krishnan, A. |
| description | Study objective
Due to the rarity of the Andersson lesion (AL), the literature is ambiguous regarding the type of surgical fixation, need for debridement and deformity correction. The purpose of this retrospective study is to evaluate the efficacy, feasibility and functional outcome of posterior fixation in AL.
Materials and methods
This study included 35 patients having thoracolumbar AL operated for in situ fixation and fusion with minimum of 24-month follow-up. VAS (Visual Analogue Score) back pain, ODI (Oswestry Disability Index), Frankel's grade were compared and analyzed. Union status was noted with complications.
Results
The mean age of 35 patients was 56.34(± 11.3) years with average follow-up of 51.49 months. Two patients had AL at two levels. 27/37 AL were at discal level. Average estimated blood loss (EBL) was 276.43 ml and duration of surgery was 130.43 min. On an average, operated segments needed 7.77 screws. There were ten minor complications without long-term sequel. Neurological improvement was noted in 30 patients. Average preoperative VAS score improved from 8.69 to 3.14, ODI score improved from 68.76 to 18.77 at final follow-up which were significant (
p
|
| doi_str_mv | 10.1007/s12306-021-00712-z |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2532260611</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A724576037</galeid><sourcerecordid>A724576037</sourcerecordid><originalsourceid>FETCH-LOGICAL-c334z-b68621fc2571cb6c42efda78b554314e2ea9d7e53d6aa75598789100f1200e853</originalsourceid><addsrcrecordid>eNp9kUtLAzEUhQdRsD7-gKsBN26m5jFJpstSfIEgiq5DmrnRlOmk5s6A9tebsWJRRLJI7uF8lxNOlp1QMqaEqHOkjBNZEEaLNFJWrHeyESNcFILScvf7TeR-doC4IESWlZiMsvsHwL7pMA8u922Ovutz599M50M7aNO2hoiYhgZw0Obv-SpgB9GHmJvVKgZjXwaUi9waBDzK9pxpEI6_7sPs6fLicXZd3N5d3cymt4XlvFwXc1lJRp1lQlE7l7Zk4GqjqrkQJaclMDCTWoHgtTRGCTGpVDVJf3WUEQKV4IfZ2WZvivDaA3Z66dFC05gWQo-aCc6YJJLSZD39ZV2EPrYpnWaKE5L2lnLrejYNaN-60EVjh6V6qlgplCRcJdf4D1c6NSy9DS04n_QfANsANgbECE6vol-a-K4p0UN5elOeTuXpz_L0OkF8A2Eyt88Qt4n_oT4A04WZtg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2730091046</pqid></control><display><type>article</type><title>Results of in situ fixation of Andersson lesion by posterior approach in 35 cases</title><source>SpringerLink Journals - AutoHoldings</source><creator>Dave, B. R. ; Kulkarni, M. ; Patidar, V. ; Devanand, D. ; Mayi, S. ; Reddy, C. ; Singh, M. ; Rai, R. R. ; Krishnan, A.</creator><creatorcontrib>Dave, B. R. ; Kulkarni, M. ; Patidar, V. ; Devanand, D. ; Mayi, S. ; Reddy, C. ; Singh, M. ; Rai, R. R. ; Krishnan, A.</creatorcontrib><description>Study objective
Due to the rarity of the Andersson lesion (AL), the literature is ambiguous regarding the type of surgical fixation, need for debridement and deformity correction. The purpose of this retrospective study is to evaluate the efficacy, feasibility and functional outcome of posterior fixation in AL.
Materials and methods
This study included 35 patients having thoracolumbar AL operated for in situ fixation and fusion with minimum of 24-month follow-up. VAS (Visual Analogue Score) back pain, ODI (Oswestry Disability Index), Frankel's grade were compared and analyzed. Union status was noted with complications.
Results
The mean age of 35 patients was 56.34(± 11.3) years with average follow-up of 51.49 months. Two patients had AL at two levels. 27/37 AL were at discal level. Average estimated blood loss (EBL) was 276.43 ml and duration of surgery was 130.43 min. On an average, operated segments needed 7.77 screws. There were ten minor complications without long-term sequel. Neurological improvement was noted in 30 patients. Average preoperative VAS score improved from 8.69 to 3.14, ODI score improved from 68.76 to 18.77 at final follow-up which were significant (
p
< 0.05). There was significant improvement in Frankel's grading (
Z
= − 4.354,
P
= 0.00).
Conclusions
Surgical management of AL by posterior approach and posterior stabilization can give satisfactory results without the need of extensive anterior reconstruction, bone grafting or deformity correction procedures without added morbidity and complications.</description><identifier>ISSN: 2035-5106</identifier><identifier>EISSN: 2035-5114</identifier><identifier>DOI: 10.1007/s12306-021-00712-z</identifier><language>eng</language><publisher>Milan: Springer Milan</publisher><subject>Back surgery ; Backache ; Comparative analysis ; Medicine ; Medicine & Public Health ; Original Article ; Orthopedics ; Spine ; Surgical Orthopedics ; Surgical outcomes ; Surgical techniques</subject><ispartof>Musculoskeletal surgery, 2022-12, Vol.106 (4), p.385-395</ispartof><rights>Istituto Ortopedico Rizzoli 2021</rights><rights>COPYRIGHT 2022 Springer</rights><rights>Istituto Ortopedico Rizzoli 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c334z-b68621fc2571cb6c42efda78b554314e2ea9d7e53d6aa75598789100f1200e853</citedby><cites>FETCH-LOGICAL-c334z-b68621fc2571cb6c42efda78b554314e2ea9d7e53d6aa75598789100f1200e853</cites><orcidid>0000-0001-9808-2371</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12306-021-00712-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12306-021-00712-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids></links><search><creatorcontrib>Dave, B. R.</creatorcontrib><creatorcontrib>Kulkarni, M.</creatorcontrib><creatorcontrib>Patidar, V.</creatorcontrib><creatorcontrib>Devanand, D.</creatorcontrib><creatorcontrib>Mayi, S.</creatorcontrib><creatorcontrib>Reddy, C.</creatorcontrib><creatorcontrib>Singh, M.</creatorcontrib><creatorcontrib>Rai, R. R.</creatorcontrib><creatorcontrib>Krishnan, A.</creatorcontrib><title>Results of in situ fixation of Andersson lesion by posterior approach in 35 cases</title><title>Musculoskeletal surgery</title><addtitle>Musculoskelet Surg</addtitle><description>Study objective
Due to the rarity of the Andersson lesion (AL), the literature is ambiguous regarding the type of surgical fixation, need for debridement and deformity correction. The purpose of this retrospective study is to evaluate the efficacy, feasibility and functional outcome of posterior fixation in AL.
Materials and methods
This study included 35 patients having thoracolumbar AL operated for in situ fixation and fusion with minimum of 24-month follow-up. VAS (Visual Analogue Score) back pain, ODI (Oswestry Disability Index), Frankel's grade were compared and analyzed. Union status was noted with complications.
Results
The mean age of 35 patients was 56.34(± 11.3) years with average follow-up of 51.49 months. Two patients had AL at two levels. 27/37 AL were at discal level. Average estimated blood loss (EBL) was 276.43 ml and duration of surgery was 130.43 min. On an average, operated segments needed 7.77 screws. There were ten minor complications without long-term sequel. Neurological improvement was noted in 30 patients. Average preoperative VAS score improved from 8.69 to 3.14, ODI score improved from 68.76 to 18.77 at final follow-up which were significant (
p
< 0.05). There was significant improvement in Frankel's grading (
Z
= − 4.354,
P
= 0.00).
Conclusions
Surgical management of AL by posterior approach and posterior stabilization can give satisfactory results without the need of extensive anterior reconstruction, bone grafting or deformity correction procedures without added morbidity and complications.</description><subject>Back surgery</subject><subject>Backache</subject><subject>Comparative analysis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Spine</subject><subject>Surgical Orthopedics</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><issn>2035-5106</issn><issn>2035-5114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kUtLAzEUhQdRsD7-gKsBN26m5jFJpstSfIEgiq5DmrnRlOmk5s6A9tebsWJRRLJI7uF8lxNOlp1QMqaEqHOkjBNZEEaLNFJWrHeyESNcFILScvf7TeR-doC4IESWlZiMsvsHwL7pMA8u922Ovutz599M50M7aNO2hoiYhgZw0Obv-SpgB9GHmJvVKgZjXwaUi9waBDzK9pxpEI6_7sPs6fLicXZd3N5d3cymt4XlvFwXc1lJRp1lQlE7l7Zk4GqjqrkQJaclMDCTWoHgtTRGCTGpVDVJf3WUEQKV4IfZ2WZvivDaA3Z66dFC05gWQo-aCc6YJJLSZD39ZV2EPrYpnWaKE5L2lnLrejYNaN-60EVjh6V6qlgplCRcJdf4D1c6NSy9DS04n_QfANsANgbECE6vol-a-K4p0UN5elOeTuXpz_L0OkF8A2Eyt88Qt4n_oT4A04WZtg</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Dave, B. R.</creator><creator>Kulkarni, M.</creator><creator>Patidar, V.</creator><creator>Devanand, D.</creator><creator>Mayi, S.</creator><creator>Reddy, C.</creator><creator>Singh, M.</creator><creator>Rai, R. R.</creator><creator>Krishnan, A.</creator><general>Springer Milan</general><general>Springer</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9808-2371</orcidid></search><sort><creationdate>20221201</creationdate><title>Results of in situ fixation of Andersson lesion by posterior approach in 35 cases</title><author>Dave, B. R. ; Kulkarni, M. ; Patidar, V. ; Devanand, D. ; Mayi, S. ; Reddy, C. ; Singh, M. ; Rai, R. R. ; Krishnan, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c334z-b68621fc2571cb6c42efda78b554314e2ea9d7e53d6aa75598789100f1200e853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Back surgery</topic><topic>Backache</topic><topic>Comparative analysis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Spine</topic><topic>Surgical Orthopedics</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dave, B. R.</creatorcontrib><creatorcontrib>Kulkarni, M.</creatorcontrib><creatorcontrib>Patidar, V.</creatorcontrib><creatorcontrib>Devanand, D.</creatorcontrib><creatorcontrib>Mayi, S.</creatorcontrib><creatorcontrib>Reddy, C.</creatorcontrib><creatorcontrib>Singh, M.</creatorcontrib><creatorcontrib>Rai, R. R.</creatorcontrib><creatorcontrib>Krishnan, A.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Musculoskeletal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dave, B. R.</au><au>Kulkarni, M.</au><au>Patidar, V.</au><au>Devanand, D.</au><au>Mayi, S.</au><au>Reddy, C.</au><au>Singh, M.</au><au>Rai, R. R.</au><au>Krishnan, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of in situ fixation of Andersson lesion by posterior approach in 35 cases</atitle><jtitle>Musculoskeletal surgery</jtitle><stitle>Musculoskelet Surg</stitle><date>2022-12-01</date><risdate>2022</risdate><volume>106</volume><issue>4</issue><spage>385</spage><epage>395</epage><pages>385-395</pages><issn>2035-5106</issn><eissn>2035-5114</eissn><abstract>Study objective
Due to the rarity of the Andersson lesion (AL), the literature is ambiguous regarding the type of surgical fixation, need for debridement and deformity correction. The purpose of this retrospective study is to evaluate the efficacy, feasibility and functional outcome of posterior fixation in AL.
Materials and methods
This study included 35 patients having thoracolumbar AL operated for in situ fixation and fusion with minimum of 24-month follow-up. VAS (Visual Analogue Score) back pain, ODI (Oswestry Disability Index), Frankel's grade were compared and analyzed. Union status was noted with complications.
Results
The mean age of 35 patients was 56.34(± 11.3) years with average follow-up of 51.49 months. Two patients had AL at two levels. 27/37 AL were at discal level. Average estimated blood loss (EBL) was 276.43 ml and duration of surgery was 130.43 min. On an average, operated segments needed 7.77 screws. There were ten minor complications without long-term sequel. Neurological improvement was noted in 30 patients. Average preoperative VAS score improved from 8.69 to 3.14, ODI score improved from 68.76 to 18.77 at final follow-up which were significant (
p
< 0.05). There was significant improvement in Frankel's grading (
Z
= − 4.354,
P
= 0.00).
Conclusions
Surgical management of AL by posterior approach and posterior stabilization can give satisfactory results without the need of extensive anterior reconstruction, bone grafting or deformity correction procedures without added morbidity and complications.</abstract><cop>Milan</cop><pub>Springer Milan</pub><doi>10.1007/s12306-021-00712-z</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-9808-2371</orcidid></addata></record> |
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| subjects | Back surgery Backache Comparative analysis Medicine Medicine & Public Health Original Article Orthopedics Spine Surgical Orthopedics Surgical outcomes Surgical techniques |
| title | Results of in situ fixation of Andersson lesion by posterior approach in 35 cases |
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