Abstract
The objective of this chapter is to discuss the decision-making and surgical technique of lumbar osteotomies for treatment of malalignment. A comprehensive literature review was performed on the history, indications, preoperative evaluation, and decision-making in patients with sagittal and coronal plane malalignment, as well as surgical technique for lumbar osteotomies. There has been an evolution of many different types of osteotomies for correcting deformities; however, three general categories exist: (1) posterior column osteotomy (PCO), (2) pedicle subtraction osteotomy (PSO), and (3) vertebral column resection (VCR). More recently, the Schwab classification describes six anatomically defined osteotomies that are commonly accepted and used. Utilizing the best available evidence, we review the indications and patient selection as a first step and then discuss the decision-making and preoperative planning. Lastly, we detail the surgical technique with emphasis on complication avoidance.
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Nazar, R., Gum, J., Dimar, J., Djurasovic, M. (2017). Lumbar Osteotomy Techniques. In: Holly, L., Anderson, P. (eds) Essentials of Spinal Stabilization . Springer, Cham. https://doi.org/10.1007/978-3-319-59713-3_22
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DOI: https://doi.org/10.1007/978-3-319-59713-3_22
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