Abstract
Surgery may bcome necessary in ankylosing spondylitis in a wide variety of organs, although such cases are extremely rare. This includes, in the region of the supporting and locomotor system, occasional invasive diagnostic measures or the morphological exclusion diagnosis of other diseases. Surgical treatment of extravertebral joint manifestations is mainly determined by the high standard of joint endoprosthetics. It is only rarely that patients suffering from Bechterew's disease require linear osteotomy to be performed - in which the tendency of complication is great - because promising conservative measures are now available. Although ankylosing spondylitis produces a great spontaneous stiffening tendency at the vertebral column, it may occasionally be necessary to perform stabilizing surgery due to atlanto-axial dislocation. In such cases, the pathogenic factors, clinical science and surgical technique are hardly different from the much more frequent atlanto-axial dislocation in rheumatoid arthritis. On the other hand, the present state of surgical technique does not lead us to expect theoretically meaningful, mobilizing surgery in the region of the vertebral column in the near future.
Published Version
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