Menu

OOTApp

«Your front row seat next to top international spinal surgeons».
Available in your App Store.

AppStore PlayStore

Support: app@oot-esj.com

  • New - OOT Video Upload section! If you have completed an interesting spine surgery video that you’d like to share with the spinal community, you can now upload it to the OOT website
    New - OOT Video Upload section! If you have completed an interesting spine surgery video that you’d like to share with the spinal community, you can now upload it to the OOT website
  • Open Operating Theatre is a proud partner of the new online Postgraduate Educational Platform eccElearning
    Open Operating Theatre is a proud partner of the new online Postgraduate Educational Platform eccElearning
  • OOT Surgery Videos are made in close collaboration with the European Spine Journal, one of the world’s highest ranked scientific spine journals
    OOT Surgery Videos are made in close collaboration with the European Spine Journal, one of the world’s highest ranked scientific spine journals
  • Don't miss Open Operating Theatre on YouTube, Twitter and FaceBook
    Don't miss Open Operating Theatre on YouTube, Twitter and FaceBook
  • OOTApp - Your front row seat next to top international spinal surgeons.  Available in your App Store
    OOTApp - Your front row seat next to top international spinal surgeons. Available in your App Store
  • Spine Surgery Today & Open Operating Theatre initiate collaboration to make spine surgery videos more accessible
    Spine Surgery Today & Open Operating Theatre initiate collaboration to make spine surgery videos more accessible
  • OOT Videos have been honoured with different awards. Watch our award winning Videos on Open Operating Theatre
    OOT Videos have been honoured with different awards. Watch our award winning Videos on Open Operating Theatre
 Close
 Slideshow

Correction and stabilisation in ankylosing spondylitis of the cervicothoracic spine

Play preview

Surgeon

Paul W Pavlov

Video number

09-002

Download price

CHF 9.00

The ankylosing spondylitis is an inflammatory disease affecting more or less the whole spine with quite significant secondary problems like severe kyphosis and inability to correct spontaneously this kyphosis due to the ankylosis. If the kyphosis is mostly in the cervicothoracic spine, patients tend to look towards the floor and are unable to have a horizontal view. Depending on where the major deformity lies, different osteotomies of the spine are possible, mostly in the area of the upper lumbar spine or, as in this specific case presented in this series, an osteotomy at the lower cervical spine (C6/7). This steotomy has been demonstrated many years ago, first by Ed Simmons in Toronto, where he did osteotomies in local anaesthesia and in sitting position, in order to control the neurological function during the osteotomy procedure. Since then, with modern instrumentation technology, it has become possible to do this osteotomy in prone position and to fix the corrected spine with a powerful pedicular system instead of treating the patient over weeks and months in a Halo jacket. These patients are operated without a wake-up test and in general anaesthesia, under continuous neuromonitoring in order to control the neurological function whilst the extension osteotomy in the lower cervical spine is conducted.

webcontact-ootesj@itds.ch