Sandwich strategy for the treatment of kyphosis with scoliosis and bilateral hip ankylosis in ankylosing spondylitis: a case report - Scorecard - MDSpire
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Sandwich strategy for the treatment of kyphosis with scoliosis and bilateral hip ankylosis in ankylosing spondylitis: a case report
Clinical Scorecard: A Staged Sandwich Approach for Managing Kyphosis, Scoliosis, and Bilateral Hip Ankylosis in a Patient with Ankylosing Spondylitis: A Case Study
At a Glance
Category
Detail
Condition
Key Mechanisms
Sequential surgical intervention addressing hip and spinal deformities as described in the case study.
Target Population
Care Setting
Key Highlights
Involves right total hip arthroplasty, followed by pedicle subtraction osteotomy, and contralateral total hip arthroplasty.
Addresses biomechanical constraints in surgical planning.
Guideline-Based Recommendations
Diagnosis
Management
Utilization of a staged surgical approach to manage complex deformities as described in the case.
Monitoring & Follow-up
Risks
Patient & Prescribing Data
A 48-year-old male with a 30-year history of ankylosing spondylitis
Involves a combination of total hip arthroplasty and spinal osteotomy for comprehensive management
Clinical Best Practices
Adhere to biomechanical principles in surgical planning as indicated in the case study.
Swedish registry analysis linked surgical treatment with better patient-reported function in comminuted intra-articular distal radius fractures, while other fracture patterns showed limited benefit.
