• Clin. Orthop. Relat. Res. · Jun 1992

    Case Reports

    Closing wedge osteotomy with transpedicular fixation in ankylosing spondylitis.

    • D Jaffray, V Becker, and S Eisenstein.
    • Department of Spinal Disorders, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, United Kingdom.
    • Clin. Orthop. Relat. Res. 1992 Jun 1(279):122-6.

    AbstractThe Smith-Petersen anterior opening wedge osteotomy of the lumbar spine is currently the accepted technique for the correction of spinal deformity in ankylosing spondylitis. It has a mortality of 10%, uses force, is uncontrolled, and fixation is often feeble. The authors have devised a posterior closing wedge with transpedicular fixation. This technique is controlled, comparatively safe, and provides secure fixation. The procedure is a relatively safe and reliable means of dealing with a dangerous operation.

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