Stabilising and Corrective Surgery of the Thoracolumbar Spine in Ankylosing Spondylitis

In this spine surgery lecture, principles of stabilising and corrective surgery of the thoracolumbar spine in ankylosing spondylitis are introduced.

Stabilising and Corrective Surgery of the Thoracolumbar Spine in Ankylosing Spondylitis Lecture Thumbnail

Price: €65

Lecturer: Marcin Czyz, MD


  • Online Lecture Presentation
  • Pre- and Post- Learning Assessments
  • Additional Learning Materials
  • Up to 3 CME Credits
  • 12 Months Access

DOI: 10.28962/01.3.148

Ref.ID: 8_10_czyz

What you will cover in this lecture

This spine surgery lecture, covers stabilising and corrective surgery of the thoracolumbar spine in ankylosing spondylitis.

The majority of ankylosing spondylitis (AS) patients with spinal issues are middle-aged or elderly males. AS affects not only the spine; patients are challenging to manage from the medical and anaesthesiological point of view.

Spinal fractures are usually localised in the cervical spine, with 10% in the thoracolumbar. Spinal fractures may result from even minor trauma and carry an extremely high risk of neurological deficits. Fractures involving both the anterior and posterior column are highly unstable – surgical treatment is indicated unless the patient is unfit for GA. Positioning on the operative table may be extremely difficult. Long posterior constructs reinforced with a cross-link are usually sufficient.

Patients managed conservatively are at high risk of developing respiratory complications. Progressive kyphotisation of the thoracic and lumbar spine significantly influences the QoL of AS patients. Surgical correction is indicated in keen, fit for GA patients who accept the high risk of complications. Correction should be focused on improving sagittal balance without impairing the patient’s horizontal gaze (aim: CBVA of 10-20°). Careful preoperative planning is essential. SPO (Smith-Petersen Osteotomy) and PSO (Pedicle Subtraction Osteotomy) can be used, providing comparable amounts of correction to the LL (~30°) with similar risks of complications, apart from aortic rupture (a potentially fatal complication) which is more common in SPO.

Learning Objectives

  1. To understand the natural history and pathomechanism of the spinal manisfestation of AS
  2. To be able to appreciate the challenges of surgical treatment in patients with AS
  3. To understand the principles of surgical treatment of spinal fractures in AS
  4. To obtain basic knowledge about techiques for surgical correction of spinal deformity in AS

Target Groups

Spine Fellows

and trainees studying at fellowship level in Orthopaedic or Neurosurgical services

Practicing Spine Surgeons

in Orthopaedic or Neurosurgical services for Continuing Education or recertification

Orthopaedic and 
Neurosurgical Residents

who wish to deepen their specialist knowledge

Logos of Endorsed by European Spine Journal, CME Accredited by EACCME, Supported by Spine and Open Operating Theatre

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Lecture Presentation

Stabilising and Corrective Surgery of the Thoracolumbar Spine in Ankylosing Spondylitis


  • Online Lecture Presentation
  • Pre- and Post- Learning Assessments
  • Additional Learning Materials
  • Up to 3 CME Credits
  • 12 Months Access

Price: €65

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Q: What is an eccElearning Lecture like?

A: Each Lecture includes the Lecture Presentation, Additional Learning Resources, Pre-Learning Quiz and Lecture Assessment.

Each Spine Surgery Lecture is viewed online in video format and lasts from 20-45 minutes. The Lectures contain relevant additional learning resources (book chapters, research papers, surgical videos, master lecture videos, case reports, review articles, etc.), which are presented in context and viewable immediately for your convenience.

Lecture 5.1 is an invited Master Lecture and does not include the Quiz and Assessment components.

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A: Lecture presentations typically take 20-45 minutes to run. However, candidates are required to review the compulsory and recommended additional learning resources contained within the Lecture. The time taken to view the Lecture and review the additional resources is in the range 3-4 hours per Lecture.


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A: Each Spine Surgery Lecture can confer up to 3 Continuing Medical Education (CME) credits, certified by European Accreditation Council for Continuing Medical Education (EACCME). The CME credits are awarded to the candidate on successful completion of the online Lecture. The number awarded depend on the number of additional learning materials available in a Lecture - premium versions of the Diploma and Modules include more material for each lecture, so confer more CME Credits.


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A: If you decide to take one of our Advanced Certificates or Spine Surgery Modules then each Module has a multiple-choice Examination which candidates take online. On passing the Examination to finish the Advanced Certificate or Module you will gain accreditation. There is no final exam for the Spine Surgery Diploma, but there is a Surgical Skills Assessment that must be taken to be awarded the Diploma.

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Q: What are CME Credits?

A: CME stands for Continuing Medical Education. You are awarded CME Credits for undertaking an approved course of medical education. Each Lecture that you complete successfully adds to your CME Credits total. All Lectures provided by eccElearning are accredited by the European Accreditation Council for Continuing Medical Education (EACCME), of the Union Européenne des Médecins Spécialistes (UEMS). You can print out your Certificate of CME Credits after the completion of any Course or Lecture.

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Q: What courses does eccElearning provide?

A: eccElearning provides Spine Surgery Courses - all taken from our Spine Surgery Education Programme. We have the Diploma in Spine Surgery with Modules individually purchasable, Spine Surgery Specialist Certificates, Spine Surgery Knowledge Packages, as well as our individually purchasable Spine Surgery Lectures.