State of the art review: Vertebral Osteotomies for the management of Spinal Deformity

Alex S. Ha, Meghan Cerpa, Lawrence G. Lenke

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations


Spinal deformity is a complex condition caused by various etiologies (degenerative, neuromuscular, congenital, developmental, traumatic, neoplastic, idiopathic) leading to clinical deformity, axial back pain, and neurologic deficits. Patients presenting with severe deformities require vertebral osteotomies to achieve the necessary curve correction for radiographic and clinical improvement. The three major vertebral osteotomy techniques commonly used at this time are the posterior column osteotomy (PCO), pedicle subtraction osteotomy (PSO), and vertebral column resection (VCR). The different vertebral osteotomies have unique merits and pitfalls that need to be addressed during preoperative planning to achieve maximum benefit while limiting or avoiding possible complications. The more difficult vertebral osteotomies have a steeper learning curve and requires extensive pre, intra and postoperative management of the patient. This review will aim to discuss the indications, surgical techniques, and clinical outcomes for each of these different vertebral osteotomy techniques with illustrative cases.

Original languageEnglish (US)
Pages (from-to)829-843
Number of pages15
JournalSpine deformity
Issue number5
StatePublished - Oct 1 2020
Externally publishedYes


  • 3-Column osteotomies
  • Spinal deformity
  • Spine surgery
  • Vertebral osteotomies

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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