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Updated: Aug 4, 2026

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Spine rehabilitation. Secondary and tertiary nonoperative care
T G Mayer1, P Polatin, B Smith
1Department of Orthopedic Surgery, University of Texas, Southwestern Medical Center at Dallas, USA..
Abstract:
To achieve desirable behavioral outcomes, physicians treating spinal pain patients should be aware of appropriate algorithms for conservative care. Lower cost secondary rehabilitation can be effective if deconditioning, severity of physical symptoms, surgical equivocation, or psychosocial barriers to recovery are not present. Patients who have extended disability in excess of 6 months, recognized psychosocial barriers (depression, substance abuse, personality disorders, secondary gain), or severe deconditioning have a better prognosis with tertiary care.
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