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Osteotomies/spinal column resection in paediatric deformity

  • Bahadir Gokcen
  • Caglar Yilgor
  • Ahmet AlanayEmail author
Original Article

Abstract

The spinal deformities in paediatric population differ from those in the adult population. Vertebral osteotomies are indicated when the deformity is too rigid to be corrected either with instrumentation alone or with the addition of soft tissue releases. When surgical intervention is to be carried out, correcting the deformity and ceasing progression should be aimed at as well as allowing further growth and improving pulmonary function. Osteotomies in the spine surgery should aim to achieve an appropriate balance in both sagittal and coronal planes. Varied clinical and radiological scenarios necessitate different osteotomy types. The purpose of this article is to introduce each osteotomy type and discuss their indications, prerequisites and complications. Osteotomy options for correcting spinal deformities are Ponte osteotomy, Smith-Petersen osteotomy, pedicle subtraction osteotomy, bone-disc-bone osteotomy and vertebral column resection. All the osteotomy types are technically demanding. Appropriate selection of the type of the osteotomy depends on the surgeons’ experience, type of the deformity, magnitude of the curve, remaining growth potential and operative goals. Neuromonitoring should be an indispensible part of the procedure. Spine osteotomies are effective procedures for the treatment of paediatric spine deformities if experienced surgical team performs them.

Keywords

Scoliosis Kyphosis Osteotomy Paediatric Severe 

Notes

Conflict of interest

Dr. Gokcen and Dr. Yilgor have nothing to disclose. Dr. Alanay is a consultant and receives research grant from DePuy & Synthes.

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Copyright information

© Springer-Verlag France 2014

Authors and Affiliations

  1. 1.Department of Orthopaedics and TraumatologyIstanbul Florence Nightingale HospitalIstanbulTurkey
  2. 2.Department of Orthopaedics and TraumatologyKiziltepe State HospitalMardınTurkey
  3. 3.Acibadem Maslak Hospital Comprehensive Spine CenterAcibadem University School of Medicine, Department of Orthopaedics and TraumatologyIstanbulTurkey

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