A novel technique for sublaminar-band-assisted closure of pedicle subtraction osteotomy

  • 426 Accesses

  • 2 Citations

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 199

This is the net price. Taxes to be calculated in checkout.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6


  1. 1.

    Lafage V, Schwab F, Patel A et al (2009) Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine 34:599–606

  2. 2.

    Aebi M (2005) The adult scoliosis. Eur Spine J 14(10):925–948

  3. 3.

    Bridwell KH, Lewis SJ, Lenke LG, Baldus C, Blanke K (2003) Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. J Bone Joint Surg Am 85(3):454–463

  4. 4.

    Cho KJ, Bridwell KH, Lenke LG, Berra A, Baldus C (2005) Comparison of Smith-Petersen versus pedicle subtraction osteotomy for the correction of fixed sagittal imbalance. Spine 30(18):2030–2037

  5. 5.

    Smith JS, Sansur CA, Donaldson WF 3rd, Perra JH, Mudiyam R, Choma TJ, Zeller RD, Knapp Jr, Noordeen HH, Berven SH, Goytan MJ, Boachie-Adjei O, Shaffrey CI (2011) Short-term morbidity and mortality associated with correction of thoracolumbar fixed sagittal plane deformity: a report from the Scoliosis Research Society Morbidity and Mortality Committee. Spine 36(12):958–964

  6. 6.

    Lamartina C, Berjano P, Petruzzi M et al (2012) Criteria to restore sagittal balance in deformity and degenerative spondylolisthesis. Eur Spine J 21:27–31

  7. 7.

    Schwab F, Patel A, Ungar B et al (2010) Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine 35:2224–2231

  8. 8.

    Mehta VA, Amin A, Omeis I et al (2012) Implications of spinopelvic alignment for the spine surgeon. Neurosurgery 70:707–721

  9. 9.

    Berjano P et al (2013) Failures and revisions in surgery for sagittal imbalance. Analysis of factors influencing failure. Eur Spine J Suppl 2013 (in press)

  10. 10.

    Le Huec JC, Leijssen P, Duarte M, Aunoble S (2011) Thoracolumbar imbalance analysis for osteotomy planification using a new method: FBI technique. Eur Spine J 20(5):669–680

  11. 11.

    Boulay C, Tardieu C, Hecquet J, Benaim C, Mouilleseaux B, Marty C, Prat-Pradal D, Legaye J, Duval-Beaupère G, Pélissier J (2006) Sagittal alignment of spine and pelvis regulated by pelvic incidence: standard values and prediction of lordosis. Eur Spine J 15:415–422

  12. 12.

    Lafage V, Schwab F, Vira S et al (2011) Spinopelvic parameters after surgery can be predicted.: a preliminary formula and validation of standing alignment. Spine 36:1037–1045

  13. 13.

    Neal CJ, McClendon J, Halpin R, Acosta FL, Koski T, Ondra SL (2011) Predicting ideal spinopelvic balance in adult spinal deformity. J Neurosurg Spine 15:82–91

  14. 14.

    Ondra SL, Marzouk S, Koski T et al (2006) Mathematical calculation of pedicle subtraction osteotomy size to allow precision correction of fixed sagittal deformity. Spine 31:973–979

  15. 15.

    Roussouly P, Nnadi C (2010) Sagittal plane deformity: an overview of interpretation and management. Eur Spine J 19:1824–1836

  16. 16.

    Lamartina C, Berjano P (2013) Classification of sagittal imbalance based on spinal alignment and compensatory mechanisms. Eur Spine J (in press)

Download references

Conflict of interest


Author information

Correspondence to Pedro Berjano.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (WMV 335942 kb)

Supplementary material 1 (WMV 335942 kb)

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Berjano, P., Cucciati, L., Damilano, M. et al. A novel technique for sublaminar-band-assisted closure of pedicle subtraction osteotomy. Eur Spine J 22, 2910–2914 (2013).

Download citation


  • Sagittal imbalance
  • Pedicle subtraction osteotomy
  • Flat back
  • Sagittal balance restoration
  • Sublaminar bands