scholarly journals Results of closing wedge osteotomy in the treatment of sagittal imbalance due to ankylosing spondylitis

2016 ◽  
Author(s):  
Fatih Yıldız
Keyword(s):  
Ankylosing Spondylitis ◽  
Wedge Osteotomy ◽  
Sagittal Imbalance ◽  
Closing Wedge Osteotomy ◽  
Closing Wedge

scholarly journals Functional outcome after lumbar closing wedge osteotomy in ankylosing spondylitis

2008 ◽  
Vol 33 (4) ◽  
pp. 1049-1053 ◽  
Author(s):  
Jens Ivar Brox ◽  
Arthur Helle ◽  
Roger Sørensen ◽  
Ragnhild Gunderson ◽  
Rolf Riise ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Functional Outcome ◽  
Wedge Osteotomy ◽  
Closing Wedge Osteotomy ◽  
Closing Wedge

Closing Wedge Osteotomy Versus Opening Wedge Osteotomy in Ankylosing Spondylitis With Thoracolumbar Kyphotic Deformity

Spine ◽  
2005 ◽  
Vol 30 (14) ◽  
pp. 1584-1593 ◽  
Author(s):  
Kao-Wha Chang ◽  
Ying-Yu Chen ◽  
Chien-Chung Lin ◽  
Hsiang-Lan Hsu ◽  
Ke-Chun Pai
Keyword(s):  
Ankylosing Spondylitis ◽  
Kyphotic Deformity ◽  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Closing Wedge Osteotomy ◽  
Closing Wedge

Radiographic Impact of Lapidus, Proximal Lateral Closing Wedge Osteotomy, and Suture Button Procedures on First Ray Length and Dorsiflexion for Hallux Valgus

2020 ◽  
Vol 41 (8) ◽  
pp. 964-971 ◽  
Author(s):  
Ian M. Foran ◽  
Nasima Mehraban ◽  
Stephen K. Jacobsen ◽  
Daniel D. Bohl ◽  
Johnny Lin ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Wedge Osteotomy ◽  
Level Of Evidence ◽  
Closing Wedge Osteotomy ◽  
First Metatarsal ◽  
Suture Button ◽  
Closing Wedge ◽  
Radiographic Measurements ◽  
Valgus Angle ◽  
First Ray

Background: Shortening and dorsiflexion of the first metatarsal are known potential side effects of metatarsal osteotomies for hallux valgus (HV) with the potential to cause transfer metatarsalgia. We compared the effect of the first tarsometatarsal joint arthrodesis (Lapidus procedure), proximal lateral closing wedge osteotomy (PLCWO), and intermetatarsal suture button fixation procedures on the length and dorsiflexion of the first ray. Methods: We retrospectively evaluated 105 feet in 99 patients with 30 weeks of follow-up. The average age was 54 years. Seventy-four feet had a Lapidus procedure, 12 had a PLCWO, and 19 had intermetatarsal suture button fixation. Digital radiographic measurements were made for the pre- and postoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA), absolute and relative shortening of the first ray, and dorsiflexion. Results: Preoperative HVA and IMA did not differ between treatment groups ( P > .05 for each). Similar corrections of HVA (30.5-13.5 degrees) were achieved between all groups ( P > .05). The IMA was improved more in the Lapidus group (14.3-6.5 degrees) compared with the suture button fixation group (14.2-8.1 degrees) ( P = .045). There were significant differences in the change in absolute first cuneiform–metatarsal length (FCML) between the Lapidus (–1.6 mm), PLCWO (–2.3 mm), and intermetatarsal suture button fixation (+1.9 mm) procedure ( P = .004). There were also significant differences in relative first metatarsal shortening between the Lapidus (0.1 mm relative shortening), PLCWO (1.1 mm relative shortening), and intermetatarsal suture button fixation (1.3 mm lengthening) procedure ( P < .001). The average dorsiflexion differed between the Lapidus (1.8 degrees) and suture button fixation (0.4 degrees) groups ( P = .004). Conclusion: Intermetatarsal suture button fixation relatively lengthened the first ray, the Lapidus procedure maintained length, and the PLCWO relatively and absolutely shortened it. Dorsiflexion may be higher with the Lapidus and osteotomy procedures. Level of Evidence: Level III, retrospective comparative series.

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