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Related Experiment Video

Updated: Aug 3, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity

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Construct-to-construct biplanar cantilever technique for spinal deformity correction: illustrative case.

J Manuel Sarmiento, Mitchell S Fourman, Han Jo Kim

    Journal of Neurosurgery. Case Lessons
    |April 11, 2023
    PubMed
    Summary

    This study introduces a posterior-only spinal fusion technique for kyphoscoliosis, using an en bloc translation maneuver to correct both sagittal and coronal deformities effectively.

    Keywords:
    adult idiopathic scoliosisadult spinal deformityconstruct-to-construct cantileverspinal deformity correction techniques

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    Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique
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    Area of Science:

    • Orthopedic Surgery
    • Spinal Deformity Correction

    Background:

    • Posterior-only approaches are increasingly favored for idiopathic scoliosis correction.
    • This technique addresses kyphoscoliosis management using a posteriorly based method.

    Purpose of the Study:

    • To present a novel posterior spinal fusion technique for kyphoscoliosis.
    • To demonstrate an en bloc translation reduction maneuver for deformity correction.

    Main Methods:

    • A 50-year-old female with adult idiopathic scoliosis underwent T9-L4 posterior spinal fusion.
    • Smith-Peterson osteotomies and an en bloc reduction maneuver were employed.
    • The maneuver corrected coronal deformity and focal kyphosis simultaneously.

    Main Results:

    • The patient presented with significant thoracolumbar spinal deformity (85° lumbar curve, 58° thoracic curve, 86° kyphosis).
    • The en bloc reduction maneuver successfully translated the deformity apex and corrected kyphosis.

    Conclusions:

    • A construct-to-construct biplanar cantilever technique is effective for kyphoscoliosis.
    • This method provides robust correction in both sagittal and coronal planes.