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Posterior thoracic osteotomies.

Ferran Pellisé1, Alba Vila-Casademunt,

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Posterior spinal osteotomies offer effective treatment for rigid thoracic deformities, potentially reducing complications compared to combined anterior-posterior approaches. This review details common posterior techniques, their outcomes, and associated risks.

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Area of Science:

  • Orthopedic Surgery
  • Spinal Deformity Correction
  • Spine Biomechanics

Background:

  • Traditional treatment for fixed thoracic spinal deformities involves anterior release and posterior fusion.
  • Posterior-only osteotomies have emerged as a viable alternative, potentially offering lower complication rates.

Purpose of the Study:

  • To review common posterior spinal osteotomies for adult thoracic spinal deformities.
  • To emphasize technical aspects, complications, and outcomes of these procedures.

Main Methods:

  • Review of current publications on posterior spinal osteotomies.
  • Inclusion of data from the European Spine Study Group (ESSG).

Main Results:

  • Posterior spinal osteotomies, including posterior column and three-column types, can correct thoracic deformities.
  • More aggressive osteotomies are associated with a progressive increase in complications.

Conclusions:

  • Posterior-only spinal osteotomies are effective for treating rigid thoracic deformities.
  • Understanding technical nuances and potential complications is crucial for patient outcomes.