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Related Concept Videos

Vertebral Column: Regions and Curvature01:16

Vertebral Column: Regions and Curvature

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The vertebral column or spine is a flexible column that supports the head, neck, and body and  allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
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Muscles of the Vertebral Column01:27

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The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
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General Structure of a Vertebra01:30

General Structure of a Vertebra

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A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
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Articulations of the Vertebral Column01:28

Articulations of the Vertebral Column

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In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
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Preoperative alignment and risk of proximal junctional failure : a framework for upper instrumented vertebra selection in adult spinal deformity.

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Related Experiment Video

Updated: Aug 24, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
06:45

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

Published on: September 16, 2022

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Vertebral column resection for severe kyphosis.

Munish C Gupta1

  • 1Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine, St. Louis, Missouri.

Neurosurgical Focus: Video
|October 26, 2022
PubMed
Summary

Vertebral column resection effectively corrects sharp spinal deformities. Careful preoperative planning with 3D models and staged stabilization ensures patient safety and optimal surgical outcomes.

Keywords:
congenital kyphosiscorrection of kyphotic deformitysevere kyphosisvertebral column resectionvideo

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Area of Science:

  • Orthopedics
  • Neurosurgery
  • Spinal Surgery

Background:

  • Sharp angular deformities of the vertebral column require specialized surgical correction.
  • Preoperative planning, including the use of 3D models, is essential for successful surgical intervention.

Purpose of the Study:

  • To describe the technique and critical steps for performing vertebral column resection for sharp angular deformities.
  • To highlight the importance of preoperative planning and intraoperative stabilization techniques.

Main Methods:

  • The study details a surgical technique involving initial dorsal stabilization followed by anterior decompression.
  • Correction methods include compression, rod exchange, in situ bending, and cantilever techniques.
  • Emphasis is placed on anterior column support and the use of multiple rods to prevent failure.

Main Results:

  • Vertebral column resection is presented as an effective method for correcting sharp angular spinal deformities.
  • The technique ensures spinal cord protection through stabilization and careful decompression.
  • Anterior column support and bone grafting are crucial for preventing complications.

Conclusions:

  • Vertebral column resection is a viable and effective surgical option for severe angular spinal deformities.
  • Meticulous surgical technique, including staged stabilization and adequate anterior support, is key to achieving successful correction and preventing complications.