A Review of Indications, Surgical Technique, and Outcomes for the Cervical Pedicle Subtraction Osteotomy.
Publication/Presentation Date
2-1-2022
Abstract
Cervical spine deformity is a debilitating condition that can be challenging to treat. For patients with fixed, focal, kyphotic deformities near the cervicothoracic junction, a pedicle subtraction osteotomy (PSO) can be considered. Classifying a given cervical spine deformity and quantifying the mismatch between current and desired alignment are critical steps in determining whether a PSO should be done. It is also important to understand the relative contraindications for a cervical PSO and the radiographic and patient-reported outcomes associated with the procedure. Here, we review these topics and the details of our surgical technique and postoperative considerations. Specific nuances of the setup, exposure/approach, osteotomy, closure, and postoperative protocol are highlighted. A surgical video is also included (Video 1). Our aim is to provide a conceptual framework for understanding when a cervical PSO should be considered, how it can be performed effectively, and the outcomes that can be expected.
Volume
30
Issue
3
First Page
295
Last Page
295
ISSN
1940-5480
Published In/Presented At
Sivaganesan, A., & Kim, H. J. (2022). A Review of Indications, Surgical Technique, and Outcomes for the Cervical Pedicle Subtraction Osteotomy. The Journal of the American Academy of Orthopaedic Surgeons, 30(3), e295–e300. https://doi.org/10.5435/JAAOS-D-21-00177
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
35772089
Department(s)
Administration and Leadership
Document Type
Article