{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T12:16:54Z","timestamp":1762604214546,"version":"3.40.5"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,4,7]],"date-time":"2020-04-07T00:00:00Z","timestamp":1586217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>The present study aimed to evaluate the clinical efficacy of Andersson lesion (AL) treatments and prognostic factors using medium\u2010 to long\u2010term follow\u2010up data and discuss the clinical characteristics and treatment of AL. Forty\u2010eight consecutive AL cases at our center from June 2011 to March 2018 were retrospectively analyzed, including 13 cases treated conservatively and 35 treated surgically. Epidemiological characteristics, treatment modalities, clinical features and outcomes, and prognostic factors of the Japanese Orthopaedic Association (JOA) recovery rate were reviewed. Neurological functional recovery was evaluated by American Spinal Injury Association (ASIA) classification. Clinical efficacy was evaluated by JOA score, visual analog scale (VAS) score, and Cobb's angle. The mean overall follow\u2010up duration was 44.5\u00b118.5 months (range, 27\u201385 months). There were 36 male and 12 female patients, with a mean age of 49.4\u00b113.1 years (range, 26\u201372 years). The most common lesion location was the thoracolumbar region, i.e., T10\u2010L2 (n=33; 68.8%), followed by the thoracic (n=10) and lumbar (n=5) regions. Patients treated surgically showed significantly better JOA scores, VAS scores and Cobb's angles at the final follow\u2010up than did patients treated conservatively (<jats:italic>P<\/jats:italic>&lt;.05). Univariate and binary logistic regression analyses identified two prognostic factors of the JOA score recovery rate: treatment modality (OR=0.157; 95%CI, 0.028\u20130.89; <jats:italic>P<\/jats:italic>=.036) and bone fusion (OR=9.965; 95%CI, 2.052\u201348.387; <jats:italic>P<\/jats:italic>=.004). Conservative treatment and bone nonunion predict worse JOA score recovery. Surgery remains the optimal treatment for AL in ankylosing spondylitis patients, with better clinical efficacy demonstrated by medium\u2010 to long\u2010term follow\u2010up data.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13826","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T05:01:37Z","timestamp":1586322097000},"page":"753-762","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Effects of Andersson lesion treatment in ankylosing spondylitis: A medical record review study focused on medium\u2010 to long\u2010term outcomes"],"prefix":"10.1111","volume":"23","author":[{"given":"Minhao","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery and Musculoskeletal Tumor Zhongnan Hospital of Wuhan University Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feifei","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery and Musculoskeletal Tumor Zhongnan Hospital of Wuhan University Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ansong","family":"Ping","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery and Musculoskeletal Tumor Zhongnan Hospital of Wuhan University Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2006-4277","authenticated-orcid":false,"given":"Jun","family":"Lei","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery and Musculoskeletal Tumor Zhongnan Hospital of Wuhan University Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.31.5.345"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.53.3.206"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1836-0"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B7.26337"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s100670200003"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/03009742.2012.739637"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2004.05.015"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-009-1151-x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3171\/FOC\/2008\/24\/1\/E6"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000995"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4213-6"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1480-9"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20110526-09"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1104-8"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.4081\/reumatismo.2011.38"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e31824a4aab"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198107000-00005"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00365106"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000171"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1476-9"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1929-9"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4184\/asj.2017.11.3.444"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2017.05.017"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100837"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000219870.31561.c2"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-017-0556-5"}],"container-title":["International Journal of Rheumatic Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1756-185X.13826","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185X.13826","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1756-185X.13826","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185X.13826","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T13:39:49Z","timestamp":1693834789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1756-185X.13826"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,7]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/1756-185X.13826"],"URL":"https:\/\/doi.org\/10.1111\/1756-185x.13826","archive":["Portico"],"relation":{},"ISSN":["1756-1841","1756-185X"],"issn-type":[{"type":"print","value":"1756-1841"},{"type":"electronic","value":"1756-185X"}],"subject":[],"published":{"date-parts":[[2020,4,7]]},"assertion":[{"value":"2019-10-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}