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- W4224256724 abstract "IntroductionAndersson lesions also termed as aseptic spondylodiscitis, spinal pseudoarthrosis are known to occur in patients with ankylosing spondylitis. Trauma as well as inflammation has been cited as factors responsible for the causation of these lesions. A variety of surgical approaches have been described in the literature such as anterior, posterior, combined anterior and posterior, with or without reconstruction of the anterior column defect. Controversy still exists regarding the optimal management these lesions.ObjectiveTo address the optimal method of management, levels of instrumentation, requirement of fusion and anterior instrumentation and general epidemiological profile of the patients with Andersson lesions.Materials and methodsAn electronic search for studies on the surgical management of Andersson lesions of spine was performed. Quality assessment of the included articles was done by two independent authors according to the criteria used by researchers previously in systematic reviews.ResultsMales were found to have an increased incidence with the thoracolumbar junction being the most common level. Posterior approach was the most favoured with reconstruction of the gap in the anterior column. Posterior osteotomy with correction of deformity was done commonly for an optimal healing environment. Instrumenting 2–3 levels above and below the lesion is favoured by most.ConclusionConservative management for Andersson lesions can be employed in the setting of acute trauma and stable fractures involving a single column. Surgical management of these lesions with a posterior long segment fixation and anterior column reconstruction is the favoured treatment in majority of the cases." @default.
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- W4224256724 date "2022-04-01" @default.
- W4224256724 modified "2023-10-15" @default.
- W4224256724 title "Management of Andersson lesions of spine: A systematic review of the existing literature" @default.
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- W4224256724 doi "https://doi.org/10.1016/j.jcot.2022.101878" @default.
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