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Research ArticleMinimally Invasive Surgery

Simplified Pedicle Subtraction Osteotomy for Osteoporotic Vertebral Fractures

Nicolas Plais, Charles Mengis, Jesús Manuel Gallego Bustos, Felix Tomé-Bermejo, Alejandro Peiro-Garcia, America Novoa Buitrago and Luis Alvarez-Galovich
International Journal of Spine Surgery October 2021, 15 (5) 1004-1013; DOI: https://doi.org/10.14444/8129
Nicolas Plais
1Hospital Universitario San Cecilio de Granada, Granada, Spain
MD
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Charles Mengis
2Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain
MD
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Jesús Manuel Gallego Bustos
2Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain
MD
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Felix Tomé-Bermejo
3Hospital Universitario General de Villalba, Madrid, Spain
MD
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Alejandro Peiro-Garcia
4Hospital Sant Joan de Déu Barcelona, Barcelona, Spain
MD
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America Novoa Buitrago
1Hospital Universitario San Cecilio de Granada, Granada, Spain
MD
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Luis Alvarez-Galovich
2Hospital Universitario Fundación Jiménez Diaz, Madrid, Spain
MD
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    Figure 1

    Regional and vertebral kyphosis.

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    Figure 2

    Description of the technique. (A) Axial view of the insertion of the reamers. (B) Decompression with a wide laminoforaminotomy of the fractured level (anterior posterior view). (C) Anterior posterior view of the insertion of the reamers (step 1: 25° of angulation in the axial plane; step 2: 55° of angulation in the axial plane).

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    Figure 3

    Description of the osteotomy in the sagittal plane. (A) Kyphosis caused by the fracture. (B) Planification of the osteotomy. (C) Closure of the osteotomy.

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    Figure 4

    L1 osteotomy, open technique.

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    Figure 5

    T12 osteotomy. Longer construct with percutaneous screws.

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    Figure 6

    (A, B) Minimally invasive alternative of the technique. (C, D) Inclination of the reamers.

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International Journal of Spine Surgery
Vol. 15, Issue 5
1 Oct 2021
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Simplified Pedicle Subtraction Osteotomy for Osteoporotic Vertebral Fractures
Nicolas Plais, Charles Mengis, Jesús Manuel Gallego Bustos, Felix Tomé-Bermejo, Alejandro Peiro-Garcia, America Novoa Buitrago, Luis Alvarez-Galovich
International Journal of Spine Surgery Oct 2021, 15 (5) 1004-1013; DOI: 10.14444/8129

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Simplified Pedicle Subtraction Osteotomy for Osteoporotic Vertebral Fractures
Nicolas Plais, Charles Mengis, Jesús Manuel Gallego Bustos, Felix Tomé-Bermejo, Alejandro Peiro-Garcia, America Novoa Buitrago, Luis Alvarez-Galovich
International Journal of Spine Surgery Oct 2021, 15 (5) 1004-1013; DOI: 10.14444/8129
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  • Comparative Review of Lateral and Oblique Lumbar Interbody Fusion: Technique, Outcomes, and Complications
  • Key Considerations in Surgical Decision-Making on the Side of Approach for Lumbar Lateral Transpsoas Interbody Fusion Techniques
  • A Spine Surgeon’s Learning Curve With the Minimally Invasive L5 to S1 Lateral ALIF Surgical Approach: Perioperative Outcomes and Technical Considerations
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Keywords

  • pedicle subtraction osteotomy
  • decancellation technique
  • osteoporotic vertebral fractures
  • kyphosis
  • spine trauma
  • osteoporosis
  • spinal instability
  • complications

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