Complex Deformity Correction Surgery
Complex Deformity Correction Surgery
Surgery Osteotomy: An osteotomy is an orthopaedic surgical procedure that involves cutting bone to reshape or realign the bones. It may, at times, include adding bone tissue as well. This procedure of osteotomies can be performed on bones all over the patient’s body, including the jaw, elbow, spine, shoulder, hips, knees, legs, toes, and feet.
Pedicle subtraction osteotomy: A pedicle subtraction osteotomy (PSO) is a surgical procedure used in adults and children to correct certain deformities of the spine. A spine with too much kyphosis (forward curvature, or “hunchback”) or too little lordosis (inward curvature, or “swayback”) can be corrected with a PSO.
These osteotomies are most often used for the correction of sagittal imbalance, or kyphosis. SPOs are most often used to correct sagittal imbalance between 5 and 10 cm, or smooth, gradual kyphosis, whereas a PSO is used to treat sagittal imbalance greater than 10 cm, or sharp, angular kyphosis within the lumbar spine.
Vertebral column resection: A vertebral column resection is a procedure for the correction of curvatures of the spine. This is generally done only for the most severe spinal deformities that include sharp angular curvatures, including rigid scoliosis and kyphosis.
Vertebral column resection involves removing segments of the spine, including the body of the vertebra and the posterior elements, which include the lamina, transverse process, and ribs (for procedures in the thoracic spine).
This can be done all from a posterior (back) or combined anterior (front) and posterior approach.
Spinopelvic fixation: Spinopelvic or triangular fixation, along with posterior pelvic fixation, using sacroiliac or transiliac-transsacral screws, are the most common treatment methods for sacral fractures.
Spinopelvic fixation is a procedure that uses instruments like screws and rods to immobilise the base of the spine. Like other fixation procedures, spinopelvic fixation is performed along with a fusion procedure. In a fusion, specific bones are encouraged to fuse or grow together permanently, forming one solid bone.
