Reverse posterior column osteotomy (rPCO) for fixed thoracolumbar hyperlordosis correction: Technique and case report

Autor: Alex S. Ha, Meghan Cerpa, Lawrence G. Lenke
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Interdisciplinary Neurosurgery, Vol 25, Iss , Pp 101147- (2021)
Druh dokumentu: article
ISSN: 2214-7519
DOI: 10.1016/j.inat.2021.101147
Popis: Study design: Case report. Objectives: There is limited literature describing rigid thoracolumbar hyperlordosis correction. This case will highlight the reverse posterior column osteotomy (rPCO) technique to correct rigid thorcolumbar hyperlordosis, which is rarely described in literature. Summary of background data: Rigid thorcolumbar hyperlordosis is an infrequently encountered pathology. There is a paucity of surgical approach described in literature to correct this deformity. Methods: A 21-year-old female patient with a history of adolescent idiopathic scoliosis presented with cervicothoracic proximal junctional kyphosis and a fixed thorcolumbar hyperlordosis after two previous spine surgeries with the final construct fusing from T3-L4. Results: Patient underwent deformity correction involving T3 vertebral column resection and rPCO’s at T12-L3 to correction regional and global sagittal malalignment. Conclusions: The rPCO technique can reliably correct fixed thorcolumbar hyperlordosis.
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