Surgical methods for ankylosing spondylitis (morbus Bechterew)

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A number of different surgical approaches are used for the corrective repositioning of the spinal column when treating instabilities.
The following surgical methods are frequently applied in our department, depending on the specific indications in each individual case:

A. Predominant lumbar kyphosis:

    1. Pedicle subtraction osteotomy with extensive instrumentation

    2. Multisegmental osteotomy acc. to Smith-Peterson (chevron osteotomy) with extensive pedicle
        instrumentation

B. Thoracic kyphosis:

1. Complete vertebral body resection with straightening spondylodesis

C. Thoracocervical manifestation:

1. Thoracocervical straightening spondylodesis with pedicle subtraction at TH1

D. Upper cervical manifestation:

1. C1/C2 fusion using the Harms technique