Osteotomies for the Treatment of Adult Spinal Deformities: A Critical Analysis Review

Caglar Yilgor; Peri Kindan; Altug Yucekul; Tais Zulemyan; Ahmet Alanay

doi:10.2106/JBJS.RVW.21.00226

Osteotomies for the Treatment of Adult Spinal Deformities: A Critical Analysis Review

JBJS Rev. 2022 May 1;10(5). doi: 10.2106/JBJS.RVW.21.00226.

Authors

Caglar Yilgor¹, Peri Kindan², Altug Yucekul¹, Tais Zulemyan³, Ahmet Alanay¹

Affiliations

¹ Department of Orthopedics and Traumatology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.
² Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey.
³ Comprehensive Spine Center, Acibadem University Maslak Hospital, Istanbul, Turkey.

PMID: 35613311
DOI: 10.2106/JBJS.RVW.21.00226

Abstract

»: Spinal osteotomies are powerful deformity correction techniques that may be associated with serious complications.

»: The anatomical spinal osteotomy classification system proposes 6 grades of resection corresponding to different anatomic bone, disc, facet, and ligament interventions.

»: Surgeons should be aware of the nuances of 3-column osteotomies with regard to spinal level selection, construct composition, and posterior column reconstruction and closure techniques.

»: There is a global tendency toward avoiding 3-column osteotomies as much as possible because of the growing evidence regarding the effectiveness of posterior column osteotomies and halo-gravity traction.

MeSH terms

Adult
Humans
Neurosurgical Procedures
Osteotomy* / methods
Spine* / diagnostic imaging
Spine* / surgery
Traction
Treatment Outcome