European Spine Journal (2017) 26 (Suppl 5):S560–S561 https://doi.org/10.1007/s00586-017-5382-2 OPEN OPER ATING THEATRE (OOT) Posterior only approach to open wedge osteotomy in the thoracolumbar spine 1 1 1 1 Nils Hansen‑Algenstaedt · Melanie Liem · Johannes Holz · Alf Giese © Springer-Verlag GmbH Germany, part of Springer Nature 2017 Keywords Open wedge osteotomy · Open spinal spondylodesis · Sagittal balance · Kyphosis · Posterior spinal fusion · Anterior spinal release · Intercorporal fusion · Thoracolumbar kyphotic deformity · Bone disc bone osteotomy Learning objectives Case description How to perform an open spondylodesis with decompression The patient is a 54-year-old female with a history of pro- anterior retropleural release intercorporal fusion and bone gressive rigid kyphotic deformity over 3 years at the level disc bone and open wedge osteotomy as a posterior only of Th12/L1 with a sclerotic defect and stenosis with con- approach. secutive myelon cord compression at Th12-L1. Paraspas- ticity was present as a consequence of perinatal hypoxia. Patient was presented with severe low back pain but without General information radiculopathy. Further diagnostic with X-ray, MRI and CT scan showed Over the last decades, spinal procedures have greatly a fused and sclerotic segment of Th12 and L1 and osteo- improved, providing increased safety and effectiveness with chondrosis Modic type 3 with progressive kyphotic deform- decreased complication
European Spine Journal – Springer Journals
Published: Nov 21, 2017
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