Skip to main content

Posterior Vertebral Column Decancellation (VCD) for Severe Rapid Spinal Deformities

  • Chapter
  • First Online:
Spinal Osteotomy

Abstract

Identification of a kyphotic or kyphoscoliotic deformity in various pathologic conditions on radiographs does not necessarily imply the need for treatment, either operative or nonoperative. However, patients with sharp angular spinal deformity usually have neurologic symptoms, such as late-onset paraplegia and low back pain, and also have cosmetic problems and psychological implications. Surgery may be the suitable option for the management of these patients [1]. Corrective spinal osteotomy may be considered to realign the patient’s deformed spine and to decompression. These patients with a severe rigid spinal deformity present a formidable challenge to the spine surgeon, because most of these patients need spinal osteotomy to achieve adequate correction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bridwell KH. Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal deformity. Spine. 2006;31:S171–8.

    Article  PubMed  Google Scholar 

  2. Bridwell K, Lewis S, Rinella A, et al. Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. Surgical technique. J Bone Joint Surg Am. 2004;86:44–9.

    PubMed  Google Scholar 

  3. Thiranont N, Netrawichien P. Transpedicular decancellation closed wedge vertebral osteotomy for treatment of fixed flexion deformity of spine in ankylosing spondylitis. Spine. 1993;18:2517–22.

    Article  CAS  PubMed  Google Scholar 

  4. Boachie-Adjei O, Ferguson JI, Pigeon RG, et al. Transpedicular lumbar wedge resection osteotomy for fixed sagittal imbalance: surgical technique and farly results. Spine. 2006;31:485–92.

    Article  PubMed  Google Scholar 

  5. Bradford DS, Tribus CB. Vertebral column resection for the treatment of rigid coronal decompensation. Spine. 1997;22:1590–9.

    Article  CAS  PubMed  Google Scholar 

  6. Suk SI, Chung ER, Lee SM, Lee JH, Kim SS, Kim JH. Posterior vertebral column resection in fixed lumbosacral deformity. Spine. 2005;30:E703–10.

    Article  PubMed  Google Scholar 

  7. Suk SI, Kim JH, Kim WJ, Lee SM, Chung ER, Nah KH. Posterior vertebral column resection for severe spinal deformities. Spine. 2002;27:2374–82.

    Article  PubMed  Google Scholar 

  8. Justin SS, Vincent YW, Christopher PA. Vertebral column resection for rigid spinal deformity. Neurosurgery. 2008;63:A177–82.

    Article  Google Scholar 

  9. Kawaharu H, Tomita K. Influence of acute shortening on the spinal cord: an experimental study. Spine. 2005;30:613–20.

    Article  Google Scholar 

  10. Lehmer SM, Keppler L, Buscup RS, et al. Posterior transvertebral osteotomy for adult thoracolumbar kyphosis. Spine. 1994;19:2060–7.

    Article  CAS  PubMed  Google Scholar 

  11. Gertzbein SD, Harris MB. Wedge osteotomy for the correction of posttraumatic kyphosis. Spine. 1992;17:374–9.

    Article  CAS  PubMed  Google Scholar 

  12. Pappou IP, Papadopoulos EC, Swanson AN, et al. Pott disease in the thoracolumbar spine with marked kyphosis and progressive paraplegia necessitating posterior vertebral column resection and anterior reconstruction with a cage. Spine. 2006;31(4):E123–7.

    Article  PubMed  Google Scholar 

  13. White III AA, Panjabi MM. Practical biomechanics of scoliosis and kyphosis: clinical biomechanics of the spine. 2nd ed. Philadelphia: JB Lippincott; 1990. p. 127–68.

    Google Scholar 

  14. Wang Y, Lenke LG. Vertebral column decancellation for the management of sharp angular spinal deformity. Eur Spine J. 2011;20:1703–10.

    Article  PubMed Central  PubMed  Google Scholar 

  15. Wang Y, Zhang YG, Zhang XS, Wang Z, Mao KY, Chen C, Zheng GQ, Li G, Wood KB. Posterior-only multilevel modified vertebral column resection for extremely severe Pott’s kyphotic deformity. Eur Spine J. 2009;18:1436–41.

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yan Wang MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Wang, Y., Zheng, GQ., Zhang, YG., Xiao, S., Liu, H., Huang, P. (2015). Posterior Vertebral Column Decancellation (VCD) for Severe Rapid Spinal Deformities. In: Wang, Y., Boachie-Adjei, O., Lenke, L. (eds) Spinal Osteotomy. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8038-4_10

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-8038-4_10

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-8037-7

  • Online ISBN: 978-94-017-8038-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics