Optimizing Safety in Spinal Deformity Surgery
Fig 15.1 AP and lateral radiographs of a patient thought not to be a good candidate for elective spinal deformity surgery due to her severe debilitative state of having polio…
Smith-Peterson Osteotomy and Ponte Osteotomy
Fig. 7.1 Smith-Petersen osteotomy (Reproduced with permission from Wiggins GC et al. [26]) Rupture of the aorta or its branches is associated with reduced elasticity of the aorta wall in…
Hemivertebrae Excision: Technique for Congenital Spine Deformity
Fig. 11.1 Classification of Congenital Scoliosis Most common cause of congenital scoliosis. Further subclassified as segmented, semisegmented, and nonsegmented (Fig. 11.1). Segmented: still have growth plates both cranially and caudally…
Important Research Principles in the Field of Spinal Osteotomy
Fig. 21.1 Assessment of thoracic kyphosis, lumbar lordosis, and C7 sagittal vertical axis (SVA) Fig. 21.2 Assessment of spinopelvic parameters Measurements of spinal deformity similar to those used in the…
Neurological Deficit After Spinal Osteotomy
Condition Percentage of neurological deficit Cervical disc prolapse 0.07 Myelopathy 1.38 Thoracic myelopathy 5.59 Lumbar disc prolapse 0.38 Lumbar canal stenosis 0.63 Deformity 2.25 Spinal osteotomies are inherently high-risk surgeries…
History of Spine Osteotomy
Fig. 1.1 Transpedicular decancellization and closure of wedge Purpose of this chapter is to summarize, and history review the common spinal osteotomy techniques utilized in complex spine deformity by details…
Posterior Vertebral Column Decancellation (VCD) for Severe Rapid Spinal Deformities
Fig. 10.1 Diagrams of VCR. (a) Pedicle screws were inserted before the osteotomy was performed; (b) A temporary rod was placed to bridge the anterior resection before beginning the posterior…
Indications for Spinal Osteotomy
Fig. 4.1 (a, b) PSO grade 3: closing wedge within body. (c) PSO grade 4 closing/opening body and disc Spinal osteotomy can be undertaken in pediatric and adult patients who…
Clinical and Radiographic Evaluation
Fig. 2.1 The Lenke classification system for adolescent idiopathic scoliosis 2.3.2 Sagittal Plane Analysis Pure coronal deformities in adults are rare necessitating the need to evaluate pathological sagittal curvatures [47]….
Preoperative and Postoperative Care Including Use of Halo-Gravity Traction
Fig. 17.1 The role of Halo-gravity traction primarily in treating severe pediatric spinal deformity The halo ring is placed using 6–8 pins, pins are spaced around the skull; our institutional…
