Osteotomies for the Treatment of Adult Spinal Deformities: A Critical Analysis Review

Osteotomies for the Treatment of Adult Spinal Deformities: A Critical Analysis Review

Spinal osteotomies are powerful deformity correction techniques that may be associated with serious complications. The anatomical spinal osteotomy classification system proposes 6 grades of resection corresponding to different anatomic bone, disc, facet, and ligament interventions. Surgeons should b...

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Bibliographic Details
Published in:JBJS reviews Vol. 10; no. 5
Main Authors: Yilgor, Caglar, Kindan, Peri, Yucekul, Altug, Zulemyan, Tais, Alanay, Ahmet
Format: Journal Article
Language:English
Published: United States Journal of Bone and Joint Surgery, Inc 01-05-2022
Subjects:
Adult
Humans
Neurosurgical Procedures
Osteotomy - methods
Spine - diagnostic imaging
Spine - surgery
Traction
Treatment Outcome
Online Access:Get full text
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Summary:Spinal osteotomies are powerful deformity correction techniques that may be associated with serious complications. The anatomical spinal osteotomy classification system proposes 6 grades of resection corresponding to different anatomic bone, disc, facet, and ligament interventions. Surgeons should be aware of the nuances of 3-column osteotomies with regard to spinal level selection, construct composition, and posterior column reconstruction and closure techniques. There is a global tendency toward avoiding 3-column osteotomies as much as possible because of the growing evidence regarding the effectiveness of posterior column osteotomies and halo-gravity traction.
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ISSN:2329-9185
2329-9185
DOI:10.2106/JBJS.RVW.21.00226