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Osteotomy
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Procedure

      TERMINOLOGY

      • Abbreviations

        • Smith-Peterson osteotomy (SPO)
        • Pedicle subtraction osteotomy (PSO)
      • Synonyms

        • PSO = eggshell osteotomy

      PRE-PROCEDURE

      • Indications

        • Pre-Procedure Imaging

          • Getting Started

            PROCEDURE

            • Smith-Peterson Osteotomy (SPO)

              • Pedicle Subtraction Osteotomy (PSO)

                • Cervical Extension Osteotomy

                  • Vertebral Column Resection

                    • Limitations

                      OUTCOMES

                      • Complications

                        Selected References

                        1. Arun R et al: Comparison of three types of lumbar osteotomy for ankylosing spondylitis: a case series and evolution of a safe technique for instrumented reduction. Eur Spine J. Epub ahead of print, 2011
                        2. Cho SK et al: Comparative analysis of clinical outcome and complications in primary vs. revision adult scoliosis surgery. Spine (Phila Pa 1976). Epub ahead of print, 2011
                        3. Cho SK et al: Major complications in revision adult deformity surgery: risk factors and clinical outcomes with two- to seven-year follow-up. Spine (Phila Pa 1976). Epub ahead of print, 2011
                        4. El-Sharkawi MM et al: Comparison between pedicle subtraction osteotomy and anterior corpectomy and plating for correcting post-traumatic kyphosis: a multicenter study. Eur Spine J. 20(9):1434-40, 2011
                        5. Lee SH et al: Sagittal decompensation after corrective osteotomy for lumbar degenerative kyphosis: classification and risk factors. Spine (Phila Pa 1976). 36(8):E538-44, 2011
                        6. O'Brien JR: The use of spinal osteotomy in the treatment of spinal deformity. Orthopedics. 34(3):160, 2011
                        7. Virginie L et al: Changes in thoracic kyphosis negatively impact sagittal alignment following lumbar pedicle subtraction osteotomy: a comprehensive radiographic analysis. Spine (Phila Pa 1976). Epub ahead of print, 2011
                        8. Munting E: Surgical treatment of post-traumatic kyphosis in the thoracolumbar spine: indications and technical aspects. Eur Spine J. 19 Suppl 1:S69-73, 2010
                        9. Schnake KJ et al: Correction of posttraumatic kyphosis of the thoracolumbar spine with modified pedicle subtraction osteotomy. Eur Spine J. 19(12):2231-2, 2010
                        10. Etame AB et al: Surgical management of symptomatic cervical or cervicothoracic kyphosis due to ankylosing spondylitis. Spine (Phila Pa 1976). 33(16):E559-64, 2008
                        11. Gill JB et al: Corrective osteotomies in spine surgery. J Bone Joint Surg Am. 90(11):2509-20, 2008
                        12. Heary RF et al: Decision making in adult deformity. Neurosurgery. 63(3 Suppl):69-77, 2008
                        13. La Marca F et al: Smith-Petersen osteotomy in thoracolumbar deformity surgery. Neurosurgery. 63(3 Suppl):163-70, 2008
                        14. Kim YJ et al: Results of lumbar pedicle subtraction osteotomies for fixed sagittal imbalance: a minimum 5-year follow-up study. Spine (Phila Pa 1976). 32(20):2189-97, 2007
                        15. Steinmetz MP et al: Cervical deformity correction. Neurosurgery. 60(1 Supp1 1):S90-7, 2007
                        16. Wang MY et al: Lumbar pedicle subtraction osteotomy. Neurosurgery. 60(2 Suppl 1):ONS140-6; discussion ONS146, 2007
                        17. Simmons ED et al: Thirty-six years experience of cervical extension osteotomy in ankylosing spondylitis: techniques and outcomes. Spine (Phila Pa 1976). 31(26):3006-12, 2006
                        18. Bridwell KH et al: Complications and outcomes of pedicle subtraction osteotomies for fixed sagittal imbalance. Spine (Phila Pa 1976). 28(18):2093-101, 2003
                        19. Bridwell KH et al: Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. J Bone Joint Surg Am. 85-A(3):454-63, 2003
                        20. Sengupta DK et al: Flexion osteotomy of the cervical spine: a new technique for correction of iatrogenic extension deformity in ankylosing spondylitis. Spine (Phila Pa 1976). 26(9):1068-72, 2001
                        Related Anatomy
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • Terminology

                          • Procedure

                            TERMINOLOGY

                            • Abbreviations

                              • Smith-Peterson osteotomy (SPO)
                              • Pedicle subtraction osteotomy (PSO)
                            • Synonyms

                              • PSO = eggshell osteotomy

                            PRE-PROCEDURE

                            • Indications

                              • Pre-Procedure Imaging

                                • Getting Started

                                  PROCEDURE

                                  • Smith-Peterson Osteotomy (SPO)

                                    • Pedicle Subtraction Osteotomy (PSO)

                                      • Cervical Extension Osteotomy

                                        • Vertebral Column Resection

                                          • Limitations

                                            OUTCOMES

                                            • Complications

                                              Selected References

                                              1. Arun R et al: Comparison of three types of lumbar osteotomy for ankylosing spondylitis: a case series and evolution of a safe technique for instrumented reduction. Eur Spine J. Epub ahead of print, 2011
                                              2. Cho SK et al: Comparative analysis of clinical outcome and complications in primary vs. revision adult scoliosis surgery. Spine (Phila Pa 1976). Epub ahead of print, 2011
                                              3. Cho SK et al: Major complications in revision adult deformity surgery: risk factors and clinical outcomes with two- to seven-year follow-up. Spine (Phila Pa 1976). Epub ahead of print, 2011
                                              4. El-Sharkawi MM et al: Comparison between pedicle subtraction osteotomy and anterior corpectomy and plating for correcting post-traumatic kyphosis: a multicenter study. Eur Spine J. 20(9):1434-40, 2011
                                              5. Lee SH et al: Sagittal decompensation after corrective osteotomy for lumbar degenerative kyphosis: classification and risk factors. Spine (Phila Pa 1976). 36(8):E538-44, 2011
                                              6. O'Brien JR: The use of spinal osteotomy in the treatment of spinal deformity. Orthopedics. 34(3):160, 2011
                                              7. Virginie L et al: Changes in thoracic kyphosis negatively impact sagittal alignment following lumbar pedicle subtraction osteotomy: a comprehensive radiographic analysis. Spine (Phila Pa 1976). Epub ahead of print, 2011
                                              8. Munting E: Surgical treatment of post-traumatic kyphosis in the thoracolumbar spine: indications and technical aspects. Eur Spine J. 19 Suppl 1:S69-73, 2010
                                              9. Schnake KJ et al: Correction of posttraumatic kyphosis of the thoracolumbar spine with modified pedicle subtraction osteotomy. Eur Spine J. 19(12):2231-2, 2010
                                              10. Etame AB et al: Surgical management of symptomatic cervical or cervicothoracic kyphosis due to ankylosing spondylitis. Spine (Phila Pa 1976). 33(16):E559-64, 2008
                                              11. Gill JB et al: Corrective osteotomies in spine surgery. J Bone Joint Surg Am. 90(11):2509-20, 2008
                                              12. Heary RF et al: Decision making in adult deformity. Neurosurgery. 63(3 Suppl):69-77, 2008
                                              13. La Marca F et al: Smith-Petersen osteotomy in thoracolumbar deformity surgery. Neurosurgery. 63(3 Suppl):163-70, 2008
                                              14. Kim YJ et al: Results of lumbar pedicle subtraction osteotomies for fixed sagittal imbalance: a minimum 5-year follow-up study. Spine (Phila Pa 1976). 32(20):2189-97, 2007
                                              15. Steinmetz MP et al: Cervical deformity correction. Neurosurgery. 60(1 Supp1 1):S90-7, 2007
                                              16. Wang MY et al: Lumbar pedicle subtraction osteotomy. Neurosurgery. 60(2 Suppl 1):ONS140-6; discussion ONS146, 2007
                                              17. Simmons ED et al: Thirty-six years experience of cervical extension osteotomy in ankylosing spondylitis: techniques and outcomes. Spine (Phila Pa 1976). 31(26):3006-12, 2006
                                              18. Bridwell KH et al: Complications and outcomes of pedicle subtraction osteotomies for fixed sagittal imbalance. Spine (Phila Pa 1976). 28(18):2093-101, 2003
                                              19. Bridwell KH et al: Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. J Bone Joint Surg Am. 85-A(3):454-63, 2003
                                              20. Sengupta DK et al: Flexion osteotomy of the cervical spine: a new technique for correction of iatrogenic extension deformity in ankylosing spondylitis. Spine (Phila Pa 1976). 26(9):1068-72, 2001