Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal deformity
Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal deformity
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DOI：
10.1097/01.brs.0000231963.72810.38
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发表时间：
2006-09-01
期刊：
影响因子：
3
通讯作者：
Bridwell, Keith H.
中科院分区：
文献类型：
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作者：
Bridwell, Keith H.
研究设计。作者经历及文献综述。目的。调查和讨论何时进行Smith-Petersen截骨术，而不是椎弓根减除术和/或脊柱切除术。背景资料摘要。关于Smith-Petersen截骨术、椎弓根、减影术和脊柱切除术的文章已经发表。对期望和并发症进行了回顾。然而，决策方面。这三种手术中哪一种对特定脊柱畸形病例最有用还没有明确的调查。本文讨论了作者的经验和关于固定冠状面或矢状面畸形的手术选择的文献。Smith-Petersen截骨术、椎弓根减除术和脊柱切除术的作用。每一种都有特定的应用和潜在的并发症。随着切除幅度的增加，矫正畸形的能力提高，但并发症的风险也增加。因此，了解潜在的应用和复杂性是有帮助的。
Study Design. Author experience and literature review.Objectives. To investigate and discuss decision-making on when to perform a Smith-Petersen osteotomy as opposed to a pedicle subtraction procedure and/or a vertebral column resection.Summary of Background Data. Articles have been published regarding Smith-Petersen osteotomies, pedicle, subtraction procedures, and vertebral column resections. Expectations and complications have been reviewed. However, decision-making regarding. Which of the 3 prodedures is most useful for a particular spinal deformity case is not clearly investigated.Methods. Discussed in this manuscript is the author's experience and the literature regarding the operative options for a fixed coronal or sagittal deformity.Results. There are roles for Smith-Petersen osteotomy, pedicle subtraction, and vertebral column resection. Each has specific applications and potential complications.Conclusion. As the magnitude of resection increases, the ability to correct deformity improves, but also the risk of complication increases. Therein, an understanding of potential applications and complications is helpful.