Posterior Vertebral Column Resection for Severe Spinal Deformities

Posterior vertebral column resection in spinal deformity: a systematic review

“…Many authors reported series of PVCR sequentially. However, it remains the fact PVCR is still a major procedure and application of PVCR was controversial, mainly because of high risk of complications, its aggressiveness and technical difficulty [1,7,[9][10][11]. But so far no articles predominantly concerning on this topic have been published.…”

“…To mitigate the technical difficulties, in 2002 Suk [7] introduced the technique of vertebral column resection through a posterior-only approach (posterior vertebral column resection, PVCR), which had been reported in the resection of spinal tumor [8]. It is a single procedure and avoids opening of the thoracic cage and pleura.…”

Modified pedicle subtraction osteotomies (mPSO) for thoracolumbar post-tubercular kyphosis in pediatric patients: retrospective clinical cases and review of the literature

“…However, neither of these aforementioned techniques becomes golden criterion in achieving both good correction and minimal trauma. Suk et al [10] treated 70 severe spinal deformities via PVCR (Table 4). His acquisition of the deformity correction was 61.9 % in the coronal plane and 45.2°in the sagittal plane (Table 4).…”

“…Posterior-only procedures consist of transpedicular threecolumn [17,18] (pedicle/vertebral body subtraction) osteotomy, posterior vertebral column resection (PVCR [10]), and closing-opening wedge osteotomy [14,19]. However, neither of these aforementioned techniques becomes golden criterion in achieving both good correction and minimal trauma.…”

“…However, as the extensive application and risk of potential hazards of mass blood loss, neurological deficits, pseudarthrosis, and dural tears increase [7,8], the rigid, severe spinal deformities can reach good correction via VCR. Unfortunately, with resection of the whole vertebral body, the incidence of major complications significantly increases [9,10].…”