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J Clin Neurosci. 2010 Jan;17(1):113-7. doi: 10.1016/j.jocn.2009.03.038. Epub 2009 Nov 11.

Pedicle subtraction osteotomies for the correction of post-traumatic thoracolumbar kyphosis.

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  • 1Department of Neurological Surgery, University of California San Francisco, 400 Parnassus Ave, Box 0350 San Francisco, California 94143-0350, USA.


Traumatic compression fractures are usually treated non-surgically. In most patients without osteoporosis, such fractures heal without any sequelae. However, some patients develop a post-traumatic kyphosis that can lead to severe pain and disability, refractory to non-surgical management. In such patients, correction of the kyphosis ultimately may be the only definitive treatment. Pedicle subtraction osteotomies have been used in non-traumatic settings to correct kyphotic deformities or restore lordosis in patients in symptomatic positive sagittal balance. We apply this technique in the setting of post-traumatic kyphosis, and we performed the osteotomies at the level of the compression fracture.

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