Surgical correction of kyphosis: posterior total wedge resection osteotomy in 32 patients

Acta Orthopaedica Scandinavica
Unsal DomanicAzmi Hamzaoglu

Abstract

Many surgical procedures have been developed for the treatment of kyphoscoliosis. We present our experience of one technique for posterior total wedge resection osteotomy, with clinical and radiographic results. This is a one-stage solution which results in a shortened posterior column and reduced tension on the spinal cord in rigid angular kyphosis. Between 1990 and 2000, we treated 32 patients with rigid local kyphosis by posterior wedge osteotomy and instrumentation. The etiology was congenital malformation in 17 cases, infection in 11 and previous laminectomy in 4 cases. The osteotomy is performed at the apex of the kyphotic deformity and covers two vertebrae. The upper and lower borders of the osteotomy are right inferior to the transverse processes of the upper and lower vertebrae respectively. The apex of the posteriorly based triangular osteotomy is either at the anterior vertebral body or anterior longitudinal ligament. The mean preoperative angle of local kyphosis was 72 (25-112) degrees mainly at the thoracolumbar region, and it improved to a mean of 23 (0-48) degrees after an average follow-up of 57 (24-108) months. The mean preoperative sagittal plumbline imbalance of 5.5 (2-12) cm was improved to 1.2 (-2-3.5) cm p...Continue Reading

References

Oct 1, 1996·Spine·S S WuM K Au
Apr 17, 2002·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·Cüneyt Sar, Levent Eralp

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Citations

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
Jul 22, 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·Azmi Hamzaoglu
Dec 17, 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·S RajasekaranAjoy Prasad Shetty
May 12, 2012·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·Meric EnercanAhmet Alanay
May 2, 2008·Spine·Kota WatanabeGeorgia Stobbs
Aug 1, 2009·Spine·M H H NoordeenHazem Bayoumi Elsebaie
Oct 7, 2008·Journal of Spinal Disorders & Techniques·Alper GokceMustafa Caniklioğlu
May 23, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Bahadir GokcenAhmet Alanay
Jun 22, 2014·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 ZengChuiguo Sun
Aug 19, 2007·The Spine Journal : Official Journal of the North American Spine Society·Benson P YangStephen L Ondra
Jan 17, 2015·Surgical Neurology International·Osama N Kashlan, Juan M Valdivia
Oct 2, 2008·Neurosurgery·Jay JagannathanChristopher I Shaffrey
May 17, 2017·EFORT Open Reviews·Kamil Cagri KoseServet Igrek
Dec 2, 2017·AJNR. American Journal of Neuroradiology·T TakahashiD Polly

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