ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2011
Andersson lesion: are we misdiagnosing it? A retrospective study of clinico-radiological features and outcome of short segment fixation.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 37 citations in OpenAlex.
- Management of a Severe L4/5 Andersson Lesion with Three-Column Instability in Ankylosing Spondylitis Using Single-Stage Circumferential Reconstruction: A Case Report.Journal of clinical medicine · 2026Article
- Andersson lesions in ankylosing spondylitis.Clinical rheumatology · 2025Article
- Surgical treatment of ankylosing spondylitis with Andersson lesion in the thoracic spine: a case report and review of the literature.Journal of surgical case reports · 2025Article
- Dural Tears and Cerebrospinal Fluid Leak in Osteotomy Surgery for Ankylosing Spondylitis: Incidence, Risk Factors.Orthopaedic surgery · 2025Article
- Distal Pedicle Subtraction Osteotomy for Ankylosing Spondylitis With the Dual Complications of Andersson Lesions and Idiopathic Spinal Cord Hernia: A Rare Case Report.Orthopaedic surgery · 2025Article
- Recent Advances in Managing Ankylosing Spondylitis with Andersson Lesion: A Clinical Overview and Case Report.Journal of orthopaedic case reports · 2025Article
- Detection Ewingella americana from a patient with Andersson lesion in ankylosing spondylitis by metagenomic next-generation sequencing test: a case report.BMC musculoskeletal disorders · 2024Article
- Results of in situ fixation of Andersson lesion by posterior approach in 35 cases.Musculoskeletal surgery · 2022Article
- Surgical Treatment of Andersson Lesion of the Lumbar Spine with Minimal Invasion: A Case Report.Orthopaedic surgery · 2022Article
- An infected Andersson lesion presented with incomplete paraplegia in a patient with ankylosing spondylitis. A unique case report with literature review.Spinal cord series and cases · 2022Review
- Management of Andersson lesions of spine: A systematic review of the existing literature.Journal of clinical orthopaedics and trauma · 2022Review
- Spinal disorders mimicking infection.Insights into imaging · 2021Review
- Low pelvic incidence is associated with Andersson lesions in ankylosing spondylitis patients with kyphosis.Clinical rheumatology · 2020Article
- [Debridement and interbody fusion via posterior pedicle lateral approach for ankylosing spondylitis with thoracolumbar Andersson lesion].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Article
- Management of Andersson Lesion in Ankylosing Spondylitis Using the Posterior-Only Approach: A Case Series of 18 Patients.Asian spine journal · 2018Article
- Circumferential Fusion through All-Posterior Approach in Andersson Lesion.Asian spine journal · 2017Article
- Posterior wedge osteotomy and debridement for Andersson lesion with severe kyphosis in ankylosing spondylitis.Journal of orthopaedic surgery and research · 2017Article
- Treatment of Andersson lesion-complicating ankylosing spondylitis via transpedicular subtraction and disc resection osteotomy, a retrospective study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Article
- Comments on Fuster et al.: prospective comparison of whole-body (18)F-FDG PET/CT and MRI of the spine in the diagnosis of haematogenous spondylodiscitis.European journal of nuclear medicine and molecular imaging · 2015Article
- Andersson lesion in ankylosing spondylitis.BMJ case reports · 2013Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study reviews the presentation, etiology, imaging characteristics and reasons for missed diagnosis of Andersson lesion (AL) and analyzes the surgical results of short segment fixation in the thoracolumbar region. This is a retrospective single center study. Fourteen patients (15 lesions) who were operated for AL were analyzed. The study was designed in two parts. The first part consisted of analysis of clinical and radiological features (MRI and radiographs) to highlight, whether definitive characteristics exist. The second part consisted of analysis of outcome of short segment fixation as measured by VAS, Frankel score, AsQoL index, and union, with assessment of complications. The follow-up was 42.33 ± 19.29 months (13 males and 1 female) with a mean age of 61.13 ± 19.74 years. There was predisposing trauma in five patients. There was a delay in presentation of the patients by 5.86 ± 2.50 months. There was misdiagnosis in all the cases, at primary orthopedic level (ten cases were put on anti-tuberculous treatment due to its MRI resemblance to infection) and all but one case at radiologist level. Radiographs and MRI had characteristic features in all cases, and MRI could detect posterior element affection in 14 lesions as against only 8 posterior lesions detected in radiographs. In all patients, there was a patient's delay and/or physician's delay to arrive at a diagnosis. Spinal fusion was seen in all the cases. Outcome measures of VAS, Frankel score, and AsQoL index showed significant improvement (P < 0.002). No major complications occurred. There is a lack of awareness of AL leading to misdiagnosis. Definite clinico-radiological features do exist in AL and short segment fixation is effective.
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