A pedicle subtraction osteotomy as an adjunctive tool in the surgical treatment of a rigid thoracolumbar hyperkyphosis; a preliminary report

The Spine Journal : Official Journal of the North American Spine Society
Piet J M van LoonJob L C van Susante

Abstract

A pedicle subtraction osteotomy can be considered as part of the surgical treatment of a symptomatic sagittal imbalance. The literature on the use of this technique is limited and thus far not applied to a rigid thoracolumbar hyperkyphosis. To evaluate our preliminary results of a pedicle subtraction osteotomy as an adjunctive tool in the surgical treatment of thoracolumbar kyphotic deformities. Case series Eleven patients with a symptomatic kyphotic deformity were treated with a thoracolumbar pedicle subtraction osteotomy in combination with a multilevel correction. The mean follow-up was 42.8 months (range 26-105). The clinical outcome, radiographic correction, and perioperative complications were analyzed. The results in six more traditional indications (ankylosing spondylitis, kyphoscoliosis, congenital and posttraumatic deformity), were compared with the results in a subgroup of five cases with a rigid thoracolumbar hyperkyphosis. All patients had a kyphotic thoracolumbar junction. An average of 5.8 levels was involved in the corrective fusion. A pedicle subtraction was always performed between the level Th10 and L2 to correct the sagittal balance. A lordotic correction of 38.8 (range 25-49) degrees was established with th...Continue Reading

References

Aug 1, 1985·Acta Orthopaedica Scandinavica·K StybloG H Slot
Jun 18, 1998·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·B J van RoyenG H Slot
Dec 5, 1998·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·B J Van RoyenP I Wuisman

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Citations

May 23, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Bahadir GokcenAhmet Alanay
Jan 4, 2008·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·Yan WangKeya Mao
Sep 19, 2009·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·Romain DebargePierre Roussouly
Aug 11, 2011·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·Romain DebargePierre Roussouly
Aug 13, 2011·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·Virginie LafageUNKNOWN International Spine Study Group
Apr 8, 2014·Neurosurgery Clinics of North America·Michael Y Wang
Oct 10, 2012·World Neurosurgery·Michael Y Wang, Karthik Madhavan
Jan 17, 2015·Surgical Neurology International·Osama N Kashlan, Juan M Valdivia
Oct 2, 2008·Neurosurgery·Praveen V MummaneniSigurd Berven
Sep 7, 2016·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·Olcay GulerUfuk Talu

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