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Effect of osteotomy combined with TGP on sagittal balance and ESR in patients with ankylosing spondylitis
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DOI   10.11656/j.issn.1672-1519.2019.12.08
Key Words   osteotomy surgery;TGP;ankylosing spine;sagittal balance;ESR
Author NameAffiliation
CAO Senlin Department of Chronic Disease Rehabilitation Center 2nd Ward, Shiyan Taihe Hospital, Shiyan 442000, China 
FAN Lifeng Department of Chronic Disease Rehabilitation Center 2nd Ward, Shiyan Taihe Hospital, Shiyan 442000, China 
WANG Nan Department of Chronic Disease Rehabilitation Center 2nd Ward, Shiyan Taihe Hospital, Shiyan 442000, China 
SHANG Hui Department of Orthopeadic Surgery 3rd Ward, Shiyan Taihe Hospital, Shiyan 442000, China 
Abstract
    [Objective] To investigate the effects of osteotomy combined with TGP on sagittal balance and ESR in patients with ankylosing spondylitis.[Methods] From August 2012 to February 2017,110 patients with ankylosing spondylitis in our hospital for treatment were selected as the research subject,all the patients were randomly divided into observation group and control group with 55 patients in each group. Two groups were given osteotomy surgery by the same group of senior surgeon,the control group was given postoperative routine treatment,the observation group was given postoperative TGP treatment based on the treatment,all patients were treated for 3 months.[Results] The postoperative 3 months total effective rates in the observation group and the control group were 98.2% and 87.3% respectively,and the total effective rate of the observation group was significantly higher than that of the control group (P<0.05). The postoperative 3 months of ESR and Cobb in the observation group were (15.33±8.24) mm/h and (-8.22±2.49) °, the control group were (24.42±5.39) mm/h and (-3.49±1.22) °,the observation group were significantly lower than the control group (P<0.05),and both were significantly lower than that preoperative (P<0.05). The postoperative 3 months of complication rate of cerebrospinal fluid leakage,ulcer disease,liver and kidney dysfunction,incision infection in the observation group was 3.6% that was significantly less than that of the control group (16.4%) (P<0.05).[Conclusion] Osteotomy combined with TGP in patients with ankylosing spondylitis is beneficial to reconstruct sagittal balance,reduce ESR,reduce postoperative complications and improve overall efficacy.

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