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Titlebook: Spinal Osteotomy Orthopaedics; Deformity Correction Huizhong Tian,Yuan Ma,Yingsong Wang Book 2021 Guangdong Science & Technology Press Co.,

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Osteotomy for Tuberculosis Angular Kyphosis,tion in 305 cases with angular kyphosis, including 85 patients with tuberculous kyphosis. These patients achieved satisfactory results. The objective of this chapter is to promote the surgical technique, and overwhelm the perception of tuberculous angular kyphosis as an “incurable disease” into a “curable disease.”
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Apex Osteotomy for AS Kyphosis,ion. The osteotomy correction is performed on the apex; it is very effective to extend and lengthen the spine, and thus increase the body height. Therefore, thoracolumbar apex osteotomy is also an optional surgical technique.
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Hemivertebra Osteotomy,tively close, the spinal deformity is expected to be self-limited in the future. Conservative observation and external immobilization with bracing may be used instead of surgery immediately. However, single or double hemivertebra ipsilaterally (Fig. 10.2) is an indication of surgery as soon as possible to avoid severe progression in the future.
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Pedicle Subtraction Osteotomy for Ankylosing Kyphosis Deformity,4 of the vertebral body). After manual correction, the anterior 1/4 of the vertebral body is fractured. The osteotomy gap between the vertebral arch and the posterior 3/4 of the vertebral body is closed to correct the kyphotic deformity (Fig. 5.2a, b). This is the surgical method of PSO for ankylosing kyphosis.
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Posterior Vertebral Column Resection (PVCR) Correction for Severe Rigid Spinal Deformity,vertebral body. However, due to the limitation of pedicle height and the risk of nerve injury caused by dural buckling or bone impingement, PSO has a ceiling of corrective effect. For patients with severe, especially angular, rigid spinal deformity, posterior vertebral column resection (PVCR) may be the best choice.
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