Thoracolumbar osteotomy for postsurgical sagittal imbalance.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 1523514.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A prospective study of 12 patients with sagittal plane imbalance after multiple surgeries for scoliosis is reported. Reconstruction was attempted by posterior thoracolumbar junction osteotomy. Eighty-seven degrees of thoracic kyphosis (ending at L3) was improved to forty-one degrees (ending at T12). Lumbar lordosis was increased from 21 to 30 degrees, beginning at L1 afterward (L3 before). 8.7 cm posterior displacement of the sagittal weight-bearing axis was achieved. No permanent complications ensued. The procedure, without anterior surgery, corrects the deformity at the apical area. Cotrel-Dubousset instrumentation secured correction and fixation.
Medical subject headings
- Kyphosis
- Lumbar Vertebrae
- Osteotomy
- Postoperative Complications
- Scoliosis
- Thoracic Vertebrae
Anatomy
- thoracic spine
- lumbar spine