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State of the art review: Vertebral Osteotomies for the management of Spinal Deformity

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Abstract

Spinal deformity is a complex condition caused by various etiologies (degenerative, neuromuscular, congenital, developmental, traumatic, neoplastic, idiopathic) leading to clinical deformity, axial back pain, and neurologic deficits. Patients presenting with severe deformities require vertebral osteotomies to achieve the necessary curve correction for radiographic and clinical improvement. The three major vertebral osteotomy techniques commonly used at this time are the posterior column osteotomy (PCO), pedicle subtraction osteotomy (PSO), and vertebral column resection (VCR). The different vertebral osteotomies have unique merits and pitfalls that need to be addressed during preoperative planning to achieve maximum benefit while limiting or avoiding possible complications. The more difficult vertebral osteotomies have a steeper learning curve and requires extensive pre, intra and postoperative management of the patient. This review will aim to discuss the indications, surgical techniques, and clinical outcomes for each of these different vertebral osteotomy techniques with illustrative cases.

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No funding was received in writing this review.

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Authors and Affiliations

  1. The Och Spine Hospital, NewYork-Presbyterian/Columbia University Medical Center, 5141 Broadway, 3 Field West-022, New York, NY, 10034, USA

    Alex S. Ha, Meghan Cerpa & Lawrence G. Lenke

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  1. Alex S. Ha
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  2. Meghan Cerpa
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  3. Lawrence G. Lenke
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Contributions

AH: Substantial contributions to the conception and design of the work; the acquisition, analysis, and interpretation of data for the work, Drafting the work and revising it critically for important intellectual content, Final approval of the version to be published, Contributed effort to the study. MC: Substantial contributions to the conception and design of the work; the acquisition, analysis, and interpretation of data for the work, Drafting the work and revising it critically for important intellectual content, Final approval of the version to be published, Contributed effort to the study. LGL: Substantial contributions to the conception and design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Contributed cases or effort to the study.

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Correspondence to Meghan Cerpa.

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Ha, A.S., Cerpa, M. & Lenke, L.G. State of the art review: Vertebral Osteotomies for the management of Spinal Deformity. Spine Deform 8, 829–843 (2020). https://doi.org/10.1007/s43390-020-00144-y

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