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Complex osteotomies vertebral column resection and decancellation

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Abstract

Pedicle subtraction osteotomy (PSO) is nowadays widely used to treat sagittal imbalance. Some complex malalignment cases cannot be treated by a PSO, whereas the imbalance is coronal or mixed or the sagittal imbalance is major and cannot be treated by a single PSO. The aim of this article was to review these complex situations—coronal imbalance, mixed imbalance, two-level PSO, vertebral column resection, and vertebral column decancellation, and to focus on their specificities. It wills also to evoke the utility of navigation in these complex cases.

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Authors and Affiliations

  1. Department of Orthopaedics and Spine Surgery, University Hospital of Bordeaux, Bordeaux, France

    Ibrahim Obeid, Anouar Bourghli, Louis Boissière & Jean-Marc Vital

  2. Department of Neurosurgery and Spine Surgery, P Wertheimer Hospital, Hospices Civils de Lyon, University Claude Bernard Lyon 1, 59 Boulevard Pinel, 69003, Lyon, France

    Cédric Barrey

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  1. Ibrahim Obeid
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  2. Anouar Bourghli
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  3. Louis Boissière
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  4. Jean-Marc Vital
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  5. Cédric Barrey
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Correspondence to Ibrahim Obeid.

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Obeid, I., Bourghli, A., Boissière, L. et al. Complex osteotomies vertebral column resection and decancellation. Eur J Orthop Surg Traumatol 24 (Suppl 1), 49–57 (2014). https://doi.org/10.1007/s00590-014-1472-6

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  • DOI: https://doi.org/10.1007/s00590-014-1472-6

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