Ankylosing spondylitis with chin-on-chest deformity combined with Anderson lesion as the apex of cervicothoracic kyphosis: case report

作者：Wang, Hui; Ding, Wen-Yuan^*

来源：International Journal of Clinical and Experimental Medicine, 2017, 10(9): 13831-13835.

• anderson lesion
• cervicothoracic kyphosis
• ankylosing spondylitis

Ankylosing spondylitis patient with chin-on-chest deformity and Anderson lesion as the apex of kyphosis in the cervicothoracic region is rare, and there was no consensus on the best surgical strategy for it. Here we report such a rare case of a 28-year-old man, who presented with a history of unsatisfactory appearance, cervicothoracic kyphosis, neck pain (VAS = 7), difficulty in ambulation, and inability to maintain frontal gaze. On physical examination, the patient presented severe kyphotic deformity of the cervico-thoracic spine with inability to keep horizontal gaze, the chin-brow angle was 58 degrees. We performed extension osteotomy combined with intralesional curettage of the inflammatory lesion. At one-year follow up, the patient got significant neck pain relief (VAS = 1), expressed satisfaction for the restoration of forward gaze, with grade one of Patient Satisfaction Index (PSI). In conclusion, for AS patients with chin-on-chest deformity and AL as the apex of kyphosis in the cervicothoracic region, extension osteotomy combined with intralesional curettage of the inflammatory lesion is an effective surgical strategy. Our data is of great value in decision making and surgical planning for both spinal surgeon and the patients.

• 出版日期2017
• 单位河北医科大学