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Pedicle subtraction osteotomy to correct rigid deformities

Operative Orthopadie und Traumatologie, ISSN: 1439-0981, Vol: 31, Issue: 4, Page: 301-310
2019
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Metric Options:   Counts1 Year3 Year

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Article Description

Objective: The aim of the surgery is to restore the sagittal profile in the event of a mismatch of the patient’s spinopelvic parameters and high patient suffering. Indications: Clinically symptomatic sagittal imbalance due to degeneration, trauma or after spinal surgery which can not be adequately treated by conservative therapy. Contraindications: Severe general disease of the patient; local or systemic inflammation. Surgical technique: A dorsal approach is used to resect the dorsal vertebral structures and to perform an osteotomy to the anterior edge of the spine. Postoperative management: Rest with a load limit of 5 kg for 3 months. Prohibition of deep sitting for this time. Results: The pedicle subtraction osteotomy is described in the literature as a reliable method for the treatment of sagittal imbalance. The high rate of described complications should be discussed preoperatively with the patient.

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