Vertebral Wedge Osteotomy

Scudese, Vincent A.

doi:10.1001/jama.1963.03710070029006

Cited by 61 publications

(7 citation statements)

References 10 publications

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“…In 1963, monosegmental CWO was first introduced by Scudese and Calabro 224 and thoroughly developed by Ziwjan in 1982 225 and Thomasen in 1985. 226 During this procedure, the posterior elements of one vertebra, in combination with the posterior wedge of the vertebral body, are resected to achieve correction by passive extension of the lumbar spine.…”

Section: Treatments For Asmentioning

confidence: 99%

Ankylosing spondylitis: etiology, pathogenesis, and treatments

et al. 2019

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Ankylosing spondylitis (AS), a common type of spondyloarthropathy, is a chronic inflammatory autoimmune disease that mainly affects spine joints, causing severe, chronic pain; additionally, in more advanced cases, it can cause spine fusion. Significant progress in its pathophysiology and treatment has been achieved in the last decade. Immune cells and innate cytokines have been suggested to be crucial in the pathogenesis of AS, especially human leukocyte antigen (HLA)‑B27 and the interleukin‑23/17 axis. However, the pathogenesis of AS remains unclear. The current study reviewed the etiology and pathogenesis of AS, including genome-wide association studies and cytokine pathways. This study also summarized the current pharmaceutical and surgical treatment with a discussion of future potential therapies.

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Section: Treatments For Asmentioning

confidence: 99%

Ankylosing spondylitis: etiology, pathogenesis, and treatments

et al. 2019

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“…In 1963, Scudese25 first described a vertebral wedge osteotomy for the correction of lumbar kyphosis in a patient with ankylosing spondylitis. He removed the back part of the upper surface of the body of L3.…”

Section: Pedicle Subtraction Osteotomymentioning

confidence: 99%

Osteotomy of the Spine to Correct the Spinal Deformity

2009

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There are a number of reports on Smith-Petersen osteotomy (SPO), pedicle subtraction osteotomy (PSO) and vertebral column resection (VCR). However, there are few systematic reviews of all three kinds of osteotomies. Literature review and author's experience of SPO, PSO and VCR osteotomy will be described. Various surgical techniques can be applied according to the disease entity and magnitude of the deformity. The most appropriate methods for deformity correction should be chosen and the potential complications should be considered. Before attempting an osteotomy of the spine for a spinal deformity, sufficient surgical experience and a thorough understanding of the anatomy of the spine and adjacent structures are needed. In addition, a well-organized team with the other departments is essential.

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“…Vertebral wedge osteotomy was first described by Scudese and Calabro [15] in a young woman with lumbar kyphotic deformity due to advanced Romatoid Spondylitis via resection of a portion of the posterior elements, lumbar disk and vertebral body with subsequent manipulation of the spine into extension. Then numerous studies on the management of adult sagittal imbalance came up with different osteotomy options and posterior only approaches became more popular in recent years [14].…”

Section: Discussionmentioning

confidence: 99%

The results of closing wedge osteotomy with posterior instrumented fusion for the surgical treatment of congenital kyphosis

et al. 2013

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Purpose There exist not much data regarding the surgical treatment of pure congenital kyphosis (CK) in the literature. The purpose of this study was to evaluate the results of closing wedge osteotomy with posterior instrumented fusion in patients with congenital kyphotic deformity. Methods We retrospectively evaluated the radiographical results of 10 patients who were subject to closing wedge vertebral osteotomy and posterior instrumented fusion due to CK. The mean age of the patients at surgery was 12.6 ± 3.72 years (range 8-18 years). Radiographical measurements including local kyphosis, correction loss, global kyphosis and sagittal balance values were noted for the preoperative, postoperative and final follow up periods, respectively. The data obtained from those periods underwent statistical analysis. Results Average follow-up period was 51.8 ± 29.32 months (range 26-96 months). The mean local kyphosis angle was 67.7°± 15.64°(range 42°-88°) prior to the surgery, 31.5°± 17.12 (range 14°-73°) following the surgery and 31.9°± 15.98°(range 14°-71°) during the follow up-period, respectively (p \ 0.05). A correction rate of 53.5 % was reported at the final follow up. Average sagittal balance was measured as 33.1 ± 24.48 mm (range 2-77 mm) prior to the surgery, 20.8 ± 15.46 mm (range 5-46 mm) following the surgery (p \ 0.05) and 14.1 ± 9.2 mm (range 0-30 mm) during follow-up period (p [ 0.05).

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Vertebral Wedge Osteotomy

Cited by 61 publications

References 10 publications

Ankylosing spondylitis: etiology, pathogenesis, and treatments

Ankylosing spondylitis: etiology, pathogenesis, and treatments

Osteotomy of the Spine to Correct the Spinal Deformity

The results of closing wedge osteotomy with posterior instrumented fusion for the surgical treatment of congenital kyphosis

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