Super-Pedicle Osteotomy for Correction of Focal Thoracolumbar Kyphosis

Mejia-Munne, Juan C.; Robinson, Marion F.; Magner, Mark E.; Tabbosha, Monir

doi:10.1016/j.wneu.2020.09.146

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…They also mentioned that patients with major sagittal imbalance (SVA greater than 5 cm) in type II could be corrected with pedicle subtraction osteotomy (PSO) osteotomies. 2,8,28,40 Biomechanical properties of the thoracolumbar spine should be kept in mind to correct thoracic and lumbar curvature. A harmonized correction has to be improved to prevent higher loads on the thoracic spine.…”

Section: Surgical Techniques For Posttraumatic Kyphosismentioning

confidence: 99%

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Kyphosis After Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations

et al. 2021

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Thoracolumbar fractures change the biomechanics of the spine. Load distribution causes kyphosis by the time. Treatment of posttraumatic kyphosis is still controversial. We reviewed the literature between 2010 and 2020 using a search with keywords “thoracolumbar fracture and kyphosis.” We removed osteoporotic fractures, ankylosing spondylitis fractures, non-English language papers, case reports, and low-quality case series. Up-to-date information on posttraumatic kyphosis management was reviewed to reach an agreement in a consensus meeting of the World Federation of Neurosurgical Societies (WFNS) Spine Committee. The first meeting was conducted in Peshawar in December 2019 with WFNS Spine Committee members’ presence and participation. The second meeting was a virtual meeting via the internet on June 12, 2020. We utilized the Delphi method to administer the questionnaire to preserve a high degree of validity. We summarized 42 papers on posttraumatic kyphosis. Surgical treatment of thoracolumbar kyphosis due to unstable burst fractures can be done via a posterior only approach. Less blood loss and reduced surgery time are the main advantages of posterior surgery. Kyphosis angle for surgical decision and fusion levels are controversial. However, global sagittal balance should be taken into consideration for the segment that has to be included. Adding an intermediate screw at the fractured level strengthens the construct.

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Section: Surgical Techniques For Posttraumatic Kyphosismentioning

confidence: 99%

“…28,38,41 The sagittal alignment can also be achieved in patients who have undergone anterior decompression with costotransversectomy. 8 It is possible to correct kyphosis with multiple posterior closure osteotomies. Shorter surgical time, less bleeding, and fewer neurological deficits are the main advantages of this technique.…”

Section: ) Posterior Surgerymentioning

confidence: 99%