Clinical Research Progress of Spinal Osteotomy for Correction of Spine Kyphosis

Severe spinal deformity often requires surgical correction. The application of the spinal osteotomy is indispensable. Traditional osteotomies can be divided into: Smith-Petersen Osteotomy (SPO), Pedicle Subtraction Osteotomy (PSO) and Vertebral Column Resection (VCR). Different deformities use different osteotomies. Severe deformity may use two or more osteotomies. The spine corrective surgery of severe deformity is difficult. Occurrence rate of complications of the nerve damage is high. Proper osteotomy and the doctor’s surgical experience are the keys to successful operation. Professor Wang in Department of Orthopedics, Chinese PLA General Hospital has created a new osteotomy named Vertebral Column Decancellation (VCD) in recent years which obtains some successful experience in the correction of the severe spinal deformity. This article comprehensively introduced the development and the clinical application of osteotomy in correction of spinal deformity from the history, the classification and the new progress of the osteotomy.