Lumbar pedicle subtraction osteotomy

Michael Y. Wang, Sigurd H. Berven

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

THE CORRECTION OF lumbar kyphotic deformities requires careful preoperative clinical and radiographic evaluation. For patients with rigid deformities at locations where previous anterior spinal surgery was performed, pedicle subtraction osteotomy remains an attractive treatment option. This technique uses a single-stage posterior approach for removal of the posterior elements and a wedge of the vertebral body. Using this method, it is possible to introduce up to 35 degrees of lumbar lordosis and add up to 10 cm of posterior trunk translation. Patient satisfaction from correction of these deformities is frequently excellent, but a high degree of attention must be directed to avoid neural injuries and reduce intraoperative blood loss.

Original languageEnglish (US)
Pages (from-to)ONS-140-ONS-146
JournalNeurosurgery
Volume60
Issue number2 SUPPL.1
DOIs
StatePublished - Feb 1 2007

Keywords

  • Back pain
  • Kyphosis
  • Pedicle subtraction osteotomy
  • Scoliosis
  • Spinal deformity

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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    Wang, M. Y., & Berven, S. H. (2007). Lumbar pedicle subtraction osteotomy. Neurosurgery, 60(2 SUPPL.1), ONS-140-ONS-146. https://doi.org/10.1227/01.NEU.0000249240.35731.8F