Related Experiment Video
Updated: Jul 20, 2026
Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal
1Washington University School of Medicine, Department of Orthopaedic Surgery, St. Louis, MO 63110, USA. bridwellk@wudosis.wustl.edu
Study Design:
Author experience and literature review.
Objectives:
To investigate and discuss decision-making on when to perform a Smith-Petersen osteotomy as opposed to a pedicle subtraction procedure and/or a vertebral column resection.
Summary Of Background Data:
Articles have been published regarding Smith-Petersen osteotomies, pedicle subtraction procedures, and vertebral column resections. Expectations and complications have been reviewed. However, decision-making regarding which of the 3 procedures is most useful for a particular spinal deformity case is not clearly investigated.
Methods:
Discussed in this manuscript is the author's experience and the literature regarding the operative options for a fixed coronal or sagittal deformity.
Results:
There are roles for Smith-Petersen osteotomy, pedicle subtraction, and vertebral column resection. Each has specific applications and potential complications.
Conclusion:
As the magnitude of resection increases, the ability to correct deformity improves, but also the risk of complication increases. Therein, an understanding of potential applications and complications is helpful.
