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Posterior osteotomy techniques for rigid cervical deformity correction.

Michael M Safaee1, Lee A Tan1, Christopher P Ames1

  • 1Department of Neurological Surgery, University of California, San Francisco, CA, USA.

Journal of Spine Surgery (Hong Kong)
|April 21, 2020
PubMed
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Posterior cervical osteotomies correct rigid cervical deformity using techniques like facet joint resection and wedge osteotomies. This review summarizes these powerful surgical methods for spinal alignment.

Area of Science:

  • Orthopedic Surgery
  • Neurosurgery
  • Spinal Deformity Correction

Background:

  • Rigid cervical deformity presents significant challenges in spinal correction.
  • Posterior cervical osteotomies offer powerful solutions for correcting these deformities.

Purpose of the Study:

  • To review and summarize various posterior osteotomy techniques used for cervical deformity correction.
  • To provide an overview of subtypes including facet joint resections and wedge osteotomies.

Main Methods:

  • Review of literature on posterior cervical osteotomy techniques.
  • Categorization of techniques: partial facet resection, complete facet resection, opening wedge osteotomy (OWO), and closing wedge osteotomy (CWO).

Main Results:

Keywords:
Cervicaldeformityosteotomiesposterior approach

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  • Partial facet resection allows limited lordosis and fusion surface.
  • Complete facet resection enables multi-segmental correction but requires anterior column mobility.
  • OWO and CWO involve specific vertebral resections and closures, with OWO at C7 and CWO incorporating a pedicle subtraction osteotomy (PSO)-like closure.

Conclusions:

  • Posterior cervical osteotomies encompass diverse techniques for rigid cervical deformity.
  • Understanding the nuances of each technique, such as facet resection and wedge osteotomies, is crucial for effective surgical correction.