The type of osteotomy used depends on both the location of the spinal deformity and on the amount of correction that is required. A spinal fusion with instrumentation may also be performed along with spine osteotomy to stabilize the spine and prevent further curvature.
Table of Contents
Is an osteotomy a fusion?
The type of osteotomy used depends on both the location of the spinal deformity and on the amount of correction that is required. A spinal fusion with instrumentation may also be performed along with spine osteotomy to stabilize the spine and prevent further curvature.
How successful is thoracic spine surgery?
According to one study, patients who had thoracic spine surgeries with the posterolateral approach had a complication rate of 12 to 30%. After 17 months of recovery, 76.9% of these patients reported satisfaction with the success of their surgery.
Can the thoracic spine be operated on?
Thoracic spine surgery can be an effective treatment for mid-back pain, but should only be considered if conservative and non-operative treatments have failed to provide relief. The thoracic spine is the middle region of the back and is made up of twelve vertebrae, T1 through T12.
What is thoracic spinal surgery?
A thoracic laminectomy, also known as open decompression, involves the removal of the portion of the bone causing pressure on the nerves. It is recommended for conditions such as disc herniation and spinal stenosis. It is performed under general anesthetic and through a small incision in the back.
What osteotomy means?
Osteotomy literally means “cutting of the bone.” In a knee osteotomy, either the tibia (shinbone) or femur (thighbone) is cut and then reshaped to relieve pressure on the knee joint.
What are the risks of thoracic spine surgery?
1. Introduction
| Category | Complications | Preventions/management |
|---|---|---|
| Wound-related | Incisional pain | Intercostal nerve protection |
| Surgical site infection | Careful dressing | |
| Dural tear/cerebrospinal fluid leakage | Blood patch, lumbar drainage | |
| Epidural hematoma | Meticulous hemostasis |
How long does it take to recover from thoracic spine surgery?
Thoracic spine surgery recovery can take anywhere from 4 to 6 weeks. Your doctor will let you know when you can resume certain activities and go back to work.
Can osteotomy be used on the thoracic spine?
Although originally defined in the lumbar spine, the technique can be used in all regions of the spine above or below the conus including cervical and thoracic areas. While the posterior and middle columns shorten, this osteotomy does not lengthen the anterior column, does not create an anterior bone defect and provides a more stable correction.
What is the correct PSO for a thoracic osteotomy?
The osteotomies were carried out in the proximal thoracic spine (T2-T4, n = 6), midthoracic spine (T5-T8, n = 12), and distal thoracic spine (T9-T12, n = 7). Mean correction at the PSO for all 25 levels was 16.3 degrees +/- 9.6 degrees .
What is an osteotomy?
Osteotomies could be lifesaving procedures for some severe deformities. Currently, various osteotomy techniques have been applied to treat spinal deformities. The goals of surgery are to obtain a satisfactory balance in both the sagittal and coronal planes, create a solid fusion with a balanced spine, relieve pain, and prevent further deformity.[1]
What is a posterior column osteotomy (SPO)?
The SPO is a posterior column osteotomy in which the posterior ligaments (supraspinous, intra-spinous ligaments and ligamentum flavum) and the facet joints are removed and correction is performed through the disc space. A mobile anterior disc is essential to benefit from this procedure. Both coronal and sagittal correction can be achieved.
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