• Eur J Orthop Surg Tr · Jul 2014

    Review

    Complex osteotomies vertebral column resection and decancellation.

    • Ibrahim Obeid, Anouar Bourghli, Louis Boissière, Jean-Marc Vital, and Cédric Barrey.
    • Department of Orthopaedics and Spine Surgery, University Hospital of Bordeaux, Bordeaux, France, ibrahim.obeid@gmail.com.
    • Eur J Orthop Surg Tr. 2014 Jul 1;24 Suppl 1:S49-57.

    AbstractPedicle subtraction osteotomy (PSO) is nowadays widely used to treat sagittal imbalance. Some complex malalignment cases cannot be treated by a PSO, whereas the imbalance is coronal or mixed or the sagittal imbalance is major and cannot be treated by a single PSO. The aim of this article was to review these complex situations--coronal imbalance, mixed imbalance, two-level PSO, vertebral column resection, and vertebral column decancellation, and to focus on their specificities. It wills also to evoke the utility of navigation in these complex cases.

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