Online citations, reference lists, and bibliographies.
Please confirm you are human
(Sign Up for free to never see this)
← Back to Search

Clinical And Radiological Outcomes Of Posterior Vertebral Column Resection For Severe Spinal Deformities

B. Lee, Seung-Jae Hyun, K. Kim, tae-ahn Jahng, Y. Kim, H. Kim
Published 2018 · Medicine

Save to my Library
Download PDF
Analyze on Scholarcy
Objective The aim of this study was to investigate clinical and radiological outcomes of patients who underwent posterior vertebral column resection (PVCR) by a single neurosurgeon in a single institution. Methods Thirty-four consecutive patients with severe spinal deformities who underwent PVCR between 2010 and 2016 were enrolled. The radiographic measurements included a kyphotic angle of PVCR levels (VCR angle), sagittal vertical axis (SVA), thoracic kyphosis, lumbar lordosis (LL), and spinopelvic parameters. The data of surgical time, estimated blood loss, duration of hospital stay, complications, intraoperative neurophysiologic monitoring, and the Scoliosis Research Society (SRS)-22 questionnaire were collected using a retrospective review of medical records. Results The VCR angle, LL, and SVA values were significantly corrected after surgery. The VCR and LL angle were changed from the average of 38.4±32.1° and −22.1±39.1° to −1.7±29.4° (p<0.001) and −46.3±23.8° (p=0.001), respectively. The SVA was significantly reduced from 103.6±88.5 mm to 22.0±46.3 mm (p=0.001). The clinical results using SRS-22 survey improved from 2.6±0.9 to 3.4±0.8 (p=0.033). There were no death and permanent neurological deficits after PVCR. However, complications occurred in 19 (55.9%) patients. Those patients experienced a total of 31 complications during- and after surgery. Sixteen reoperations were performed in twelve (35.3%) patients. The incidence of transient neurological deterioration was 5.9% (two out of 34 patients). Conclusion Severe spinal deformities can be effectively corrected by PVCR. However, the PVCR technique should be utilized limitedly because surgery-related serious complications are relatively common.
This paper references
Closing-opening wedge osteotomy to correct angular kyphotic deformity by a single posterior approach
Tian Hui-zhon (2007)
Osteotomies/spinal column resections in adult deformity
M. Enercan (2012)
Closing-opening wedge osteotomy to correct angular kyphotic deformity by a single posterior approach.
N. Kawahara (2001)
Posterior Vertebral Column Resection For Severe Spinal Deformities
S. Suk (2002)
Vertebral Column Resection for the Treatment of Severe Spinal Deformity
L. Lenke (2010)
Clinical outcomes and complications after pedicle subtraction osteotomy for fixed sagittal imbalance patients : a long-term follow-up data.
Seung-Jae Hyun (2010)
Neurological complications of thoracic posterior vertebral column resection for severe congenital spinal deformities
Bo-bo Zhang (2017)
Effectiveness and Safety of Tranexamic Acid in Spinal Deformity Surgery
Ho Yong Choi (2017)
Posterior Vertebral Column Resection for Severe Rigid Scoliosis
S. Suk (2005)
Posterior Vertebral Column Resection in Severe Spinal Deformities: A Total of 102 Cases
A. Hamzaoǧlu (2011)
J. Smith (2008)
Posterior Vertebral Column Resection for Severe and Rigid Spinal Deformity Associated With Neurological Deficit After Implant Removal Following Posterior Instrumented Fusion: A Case Report and Literature Review
Y. Tao (2015)
Anterior and Posterior Vertebral Column Resection Versus Posterior-only Technique: A Comparison of Clinical Outcomes and Complications in Congenital Kyphoscoliosis
G. Demirkiran (2017)
Vertebral column resection and arthrodesis for complex spinal deformities.
O. Boachie-adjei (1991)
Posterior vertebral column resection in spinal deformity: a systematic review
Changsheng Yang (2015)
Major Complications and Comparison Between 3-Column Osteotomy Techniques in 105 Consecutive Spinal Deformity Procedures
J. Auerbach (2012)
Vertebral Column Resection for the Treatment of Rigid Coronal Decompensation
D. Bradford (1997)
The SRS-Schwab adult spinal deformity classification: assessment and clinical correlations based on a prospective operative and nonoperative cohort.
Jamie S. Terran (2013)
Posterior Vertebral Column Resection for Severe Pediatric Deformity: Minimum Two-Year Follow-up of Thirty-Five Consecutive Patients
L. Lenke (2009)
Long-term outcomes of vertebral column resection for kyphosis in patients with cured spinal tuberculosis: average 8-year follow-up.
Congcong Liu (2016)
Complications After 147 Consecutive Vertebral Column Resections for Severe Pediatric Spinal Deformity: A Multicenter Analysis
L. Lenke (2013)
The risk factors of neurologic deficits of one-stage posterior vertebral column resection for patients with severe and rigid spinal deformities
Jingming Xie (2013)
Comparison of Standard 2-Rod Constructs to Multiple-Rod Constructs for Fixation Across 3-Column Spinal Osteotomies
Seung-Jae Hyun (2014)

This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar