VIDEO: Cervical osteotomy in ankylosing spondylitis

Surgeon performing cervical osteotomy in ankylosing spondylitis

In this video from the Open Operating Theatre, Hossein Mehdian, MD, of Queen’s Medical Centre in Nottingham, the United Kingdom, discusses how to perform a cervical osteotomy in 37-year-old man with ankylosing spondylitis.

The surgery was performed under general anesthetic after the patient underwent an awake fiberoptic endotracheal intubation. Spinal cord monitors electrodes were placed for cord monitoring using both somatosensory and motor-evoked potential. Antibiotic prophylaxis, intraoperative warming and mechanical thromboprophylaxis measures were used. A halo ring was placed, and patient was placed in prone position. The hair of the occiput was shaved off and removed. After skin was marked and prepped, a self-adhesive drape was applied. A posterior midline incision from C7 to T7 was made. The surgeon held the halo ring on each side of the head and closed the osteotomy by lifting the head while surgeon’s assistant pulled on the distal end of the malleable rods. One surgeon who observed from the lateral aspect, guided the operating surgeon to avid over or under correcting.

This video is intended as a teaching tool to help surgeons prepare for surgery or they can use it as a refresher on the surgical technique and indications for this surgery.

Reference:

www.oot-esj.com/en/product/17552/Cervical_Osteotomy_in_Ankylosing_Spondylitis