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Andersson Lesion Occurring in the Lumbosacral Segment of a Young Man: A Case Report and Literature Review

Andersson lesion (AL) is not a rare complication of ankylosing spondylitis (AS), but it seldom occurs in single lumbosacral segments or young people. We present a case of a young patient with AS and AL between L5 and S1. A 30-year-old man with a history of AS presented with AL between L5 and S1. Sur...

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Published in:	World neurosurgery 2020-11, Vol.143, p.419-422
Main Authors:	Qin, Wanjin, Yang, Peng, Zhou, Feng, Mao, Haiqing, Yang, Huilin
Format:	Article
Language:	English
Subjects:	Adult Andersson lesion Ankylosing spondylitis Discitis - etiology Discitis - surgery Humans Lumbosacral region Lumbosacral Region - pathology Lumbosacral Region - surgery Male Neuronavigation - methods O-arm navigation Spinal Fusion - methods Spinal tuberculosis Spondylitis, Ankylosing - complications
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creator	Qin, Wanjin Yang, Peng Zhou, Feng Mao, Haiqing Yang, Huilin
description	Andersson lesion (AL) is not a rare complication of ankylosing spondylitis (AS), but it seldom occurs in single lumbosacral segments or young people. We present a case of a young patient with AS and AL between L5 and S1. A 30-year-old man with a history of AS presented with AL between L5 and S1. Surgery performed under O-arm navigation was successful. At 6-month follow-up, the patient’s pain was reduced, and his function had improved. AL rarely occurs in the lumbosacral region or in young people and can be misdiagnosed as spinal tuberculosis. Surgical treatment of AL aims to relieve spinal nerve compression, reconstruct spinal stability, and restore sagittal balance. In view of the ambiguous anatomic landmark of patients with AS, we recommend surgery assisted with O-arm navigation, which clearly showed the entry point and guaranteed the accuracy of pedicle screw placements.
doi_str_mv	10.1016/j.wneu.2020.07.146
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In view of the ambiguous anatomic landmark of patients with AS, we recommend surgery assisted with O-arm navigation, which clearly showed the entry point and guaranteed the accuracy of pedicle screw placements.</description><subject>Adult</subject><subject>Andersson lesion</subject><subject>Ankylosing spondylitis</subject><subject>Discitis - etiology</subject><subject>Discitis - surgery</subject><subject>Humans</subject><subject>Lumbosacral region</subject><subject>Lumbosacral Region - pathology</subject><subject>Lumbosacral Region - surgery</subject><subject>Male</subject><subject>Neuronavigation - methods</subject><subject>O-arm navigation</subject><subject>Spinal Fusion - methods</subject><subject>Spinal tuberculosis</subject><subject>Spondylitis, Ankylosing - complications</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMoVqp_wIPk6KVrPnaTXfFSil-wIvhx8BSy2WlN6SY12VX896ZUezSXGSbPvDAPQqeUZJRQcbHMvhwMGSOMZERmNBd76IiWspyUUlT7u74gI3QS45Kkx2leSn6IRpzJKn2zI2SnroUQo3e4hmhTeTRmCMG6BbYO9--A66FrfNQm6BV-hkUHrsd-jjV-80OiHrS7xFM80xHwE6x96LF2La5tD0H3Q9hMPy18HaODuV5FOPmtY_R6c_0yu5vUj7f3s2k9MbwQ_UQL3tBCgqgqXlCaNyWrChCUNtAYLeYtJYaySsu2ST0vDa2kEE0pGJUgWcHH6Hybuw7-Y4DYq85GA6uVduCHqFjOc1nklSwTyraoCT7GAHO1DrbT4VtRojaW1VJtLKuNZUWkSpbT0tlv_tB00O5W_pwm4GoLQLoyXR5UNBacgdYGML1qvf0v_wd2540p</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Qin, Wanjin</creator><creator>Yang, Peng</creator><creator>Zhou, Feng</creator><creator>Mao, Haiqing</creator><creator>Yang, Huilin</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6109-3525</orcidid></search><sort><creationdate>202011</creationdate><title>Andersson Lesion Occurring in the Lumbosacral Segment of a Young Man: A Case Report and Literature Review</title><author>Qin, Wanjin ; Yang, Peng ; Zhou, Feng ; Mao, Haiqing ; Yang, Huilin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-a63b157e69935114b8295e611bebca6fd10c129a7dbfd138c19766b86217e7253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Andersson lesion</topic><topic>Ankylosing spondylitis</topic><topic>Discitis - etiology</topic><topic>Discitis - surgery</topic><topic>Humans</topic><topic>Lumbosacral region</topic><topic>Lumbosacral Region - pathology</topic><topic>Lumbosacral Region - surgery</topic><topic>Male</topic><topic>Neuronavigation - methods</topic><topic>O-arm navigation</topic><topic>Spinal Fusion - methods</topic><topic>Spinal tuberculosis</topic><topic>Spondylitis, Ankylosing - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qin, Wanjin</creatorcontrib><creatorcontrib>Yang, Peng</creatorcontrib><creatorcontrib>Zhou, Feng</creatorcontrib><creatorcontrib>Mao, Haiqing</creatorcontrib><creatorcontrib>Yang, Huilin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qin, Wanjin</au><au>Yang, Peng</au><au>Zhou, Feng</au><au>Mao, Haiqing</au><au>Yang, Huilin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Andersson Lesion Occurring in the Lumbosacral Segment of a Young Man: A Case Report and Literature Review</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2020-11</date><risdate>2020</risdate><volume>143</volume><spage>419</spage><epage>422</epage><pages>419-422</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Andersson lesion (AL) is not a rare complication of ankylosing spondylitis (AS), but it seldom occurs in single lumbosacral segments or young people. 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subjects	Adult Andersson lesion Ankylosing spondylitis Discitis - etiology Discitis - surgery Humans Lumbosacral region Lumbosacral Region - pathology Lumbosacral Region - surgery Male Neuronavigation - methods O-arm navigation Spinal Fusion - methods Spinal tuberculosis Spondylitis, Ankylosing - complications
title	Andersson Lesion Occurring in the Lumbosacral Segment of a Young Man: A Case Report and Literature Review
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