Osteotomies in the treatment of spinal deformities: indications, classification, and surgical planning

  • Bassel Diebo
  • Shian Liu
  • Virginie LafageEmail author
  • Frank Schwab
General Review


The surgical treatment of adult spinal deformity has been shown to offer superior clinical and radiographic outcomes compared with nonoperative approaches; furthermore, osteotomies are increasingly applied for treating spinal deformities. Establishing a plan for a patient suffering from marked spinal deformity is a matter of consideration of certain radiographic parameters which correlate with health-related quality of life scores, adherence to consistent principles of alignment and established formulas, and selecting the appropriate osteotomies. This is a review of the most recent work on vertebral osteotomies and includes a summary of a systematic and anatomically based osteotomy classification. A universal classification will facilitate communication, standardize outcomes research, and establish a framework upon which indications can be properly studied and described. Ongoing multicenter collaboration is certain to drive a more evidence-based approach to the complex clinical scenarios of patients suffering from spinal deformity.


Spinal osteotomy Anatomical classification Adult spinal deformity Surgical planning 


Conflict of interest



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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  • Bassel Diebo
    • 1
  • Shian Liu
    • 1
  • Virginie Lafage
    • 1
    Email author
  • Frank Schwab
    • 1
  1. 1.Department of Orthopaedic SurgeryNYU Hospital for Joint DiseasesNew YorkUSA

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