Asian Spine J.  2009 Dec;3(2):113-123. 10.4184/asj.2009.3.2.113.

Osteotomy of the Spine to Correct the Spinal Deformity

Affiliations
  • 1Department of Orthopaedic Surgery, Spine Center, Kyung Hee University East West Neomedical Center, Seoul, Korea. osgktnrtod@yahoo.co.kr
  • 2Department of Orthopaedic Surgery, Seoul Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

Abstract

There are a number of reports on Smith-Petersen osteotomy (SPO), pedicle subtraction osteotomy (PSO) and vertebral column resection (VCR). However, there are few systematic reviews of all three kinds of osteotomies. Literature review and author's experience of SPO, PSO and VCR osteotomy will be described. Various surgical techniques can be applied according to the disease entity and magnitude of the deformity. The most appropriate methods for deformity correction should be chosen and the potential complications should be considered. Before attempting an osteotomy of the spine for a spinal deformity, sufficient surgical experience and a thorough understanding of the anatomy of the spine and adjacent structures are needed. In addition, a well-organized team with the other departments is essential.

Keyword

Spinal osteotomy; Smith-Petersen osteotomy; Pedicle subtraction osteotomy; Vertebral column resection

MeSH Terms

Congenital Abnormalities
Osteotomy
Spine
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