Open AccessSurgical Treatment of Andersson Lesion of the Lumbar Spine with Minimal Invasion: A Case Report
Author(s) -
Zhou Hong,
Li Xuefeng,
Liu Yijie,
Wang Heng,
Jiang Weimin
Publication year - 2022
Publication title -
orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.666
H-Index - 23
eISSN - 1757-7861
pISSN - 1757-7853
DOI - 10.1111/os.13426
Subject(s) - medicine , surgery , lesion , lumbar , lumbar spine , fixation (population genetics) , ankylosing spondylitis , radiography , environmental health , population
Background Andersson lesion (AL) refers to a destructive vertebral or disco‐vertebral lesion of the spine in patients with ankylosing spondylitis (AS). Against the backdrop that the best surgical option for AL remains controversial, this work serves as the first case report of oblique lateral interbody fusion (OLIF) combined with posterior pedicle screw fixation to treat AL of the lumbar spine under minimal invasion. Case presentation In this case report, the patient involved was a female aged 37 diagnosed with AL (L3‐L4). OLIF combined with pedicle screw fixation was carried out to achieve stabilization of the lumbar spine. It turned out that the patient experienced significant pain relief in her excellent post‐operative recovery, with her post‐surgical radiographs indicating good stability and bony fusion. The patient now remains disease‐free with no low back pain or neurological deficit at the two‐year follow‐up. Conclusion OLIF combined with pedicle screw fixation thus has proven to be an ideal therapeutic option for treating AL of the lumbar spine.