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Spinal Osteotomy – Indications and Techniques

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Book cover European Surgical Orthopaedics and Traumatology

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Abstract

Corrective osteotomies are used to treat sagittal and coronal imbalance of the spine in patients with a variety of spinal deformities. It is important to be able to recognize the type and underlying cause of the deformity so that the most appropriate osteotomy can be chosen.

The Smith-Petersen osteotomy is relatively simple compared with the other osteotomies and can typically be used to treat type-1 deformities. Also, curves that have a relatively smooth kyphosis instead of a sharp angular kyphosis can be treated with a Smith-Petersen osteotomy. Multiple Smith-Petersen osteotomies can be used to achieve the necessary amount of correction.

Pedicle subtraction osteotomy is typically used in patients with greater imbalances in the sagittal plane of the spine and when a minimum of 30° of correction is needed.

Vertebral column resection is reserved for deformities, such as those in both the sagittal and the coronal plane, that are not amenable to treatment with either a Smith-Petersen osteotomy or a pedicle subtraction osteotomy, or a combination of the two.

Recent results have shown high patient satisfaction rates and good functional outcomes after spinal osteotomies done to treat a variety of disorders. As the level of complexity of the osteotomy increases, so does the potential for complications.

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Authors and Affiliations

  1. Department Hospital Vall d’Hebron, Autonomous University of Barcelona, Barcelona, Spain

    Enric Cáceres Palou

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Correspondence to Enric Cáceres Palou .

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  1. Royal National Orthopaedic Hospital, Stanmore, United Kingdom

    George Bentley

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Palou, E.C. (2014). Spinal Osteotomy – Indications and Techniques. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_223

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  • DOI: https://doi.org/10.1007/978-3-642-34746-7_223

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-34745-0

  • Online ISBN: 978-3-642-34746-7

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