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Updated: May 19, 2026
Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
An alternate method of fixation for management of early-onset deformity with thoracic kyphosis
1Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston, SC 29425, USA. grossr@musc.edu
Background:
Although methods currently used for management of early-onset scoliosis are effective, the presence of excessive thoracic kyphosis is associated with an increased instrumentation failure rate.
Methods:
An alternate method of upper thoracic fixation by using a 4-rib construct was developed by necessity when the author was presented with 2 cases of early-onset deformity with severe kyphosis and osteoporosis.
Results:
With a minimum 3-year follow-up, both cases have demonstrated gratifying clinical and radiographic results.
Conclusions:
This method is presented as an alternate method of upper thoracic fixation when increased pullout forces secondary to thoracic kyphosis are anticipated.
Level Of Evidence:
IV.
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