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Updated: May 22, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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Lateral column lengthening osteotomies.

Andrew J Roche1, James D F Calder

  • 1Department of Trauma and Orthopaedic Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, 369 Fulham Road, London, SW10 9NH, UK. andyortho@gmail.com

Foot and Ankle Clinics
|May 1, 2012
PubMed
Summary
This summary is machine-generated.

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Lateral column lengthening procedures are effective for pes planovalgus foot deformities. However, the optimal surgical approach for flexible deformities remains debated, requiring individualized treatment plans.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Biomechanics

Background:

  • Pes planovalgus foot deformity is a common condition requiring surgical management.
  • Lateral column lengthening procedures, including Evans-type osteotomy and calcaneocuboid distraction arthrodesis, are utilized.
  • Existing literature extensively covers hindfoot biomechanics but lacks consensus on the best procedure for flexible pes planovalgus.

Purpose of the Study:

  • To review the role of lateral column lengthening in managing pes planovalgus.
  • To discuss the lack of consensus regarding the optimal surgical technique for flexible pes planovalgus.
  • To emphasize the need for individualized surgical decision-making.

Main Methods:

  • Review of clinical outcome studies on lateral column lengthening.

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  • Analysis of biomechanical literature concerning hindfoot procedures.
  • Discussion of surgical considerations for flexible pes planovalgus.

    • Main Results:

    • Lateral column lengthening procedures demonstrate efficacy in managing pes planovalgus.
    • No definitive consensus exists on the superior procedure for flexible pes planovalgus.
    • Optimal outcomes may necessitate multiple surgical interventions.

    Conclusions:

    • Lateral column lengthening has a defined role in treating pes planovalgus.
    • Surgeons must tailor treatment to individual patient needs and foot pathology.
    • Combined procedures may be required for optimal correction of flexible pes planovalgus.