Lamina-preserving, Type II Posterior Column Osteotomies (PCOs) for Correction of Adult (Thoraco) Lumbar Scoliosis.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2025-07-11 DOI:10.1097/BSD.0000000000001872

Andrew P Collins, Aaron J Clark, Alekos A Theologis

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Abstract

Study design: Operative video and supplemental manuscript.

Objective: To present a step-by-step approach to performing lamina-preserving lumbar posterior column osteotomies (PCO) for correction of adult thoracolumbar scoliosis.

Summary of background data: Outcomes of operations for adult thoracolumbar spinal deformities are dictated by adequate neural decompression, restoration of appropriate alignment, and achievement of fusion. A surgical strategy that optimizes attainment of all 3 of these goals is important to understand.

Methods: A step-by-step approach to performing lamina-preserving lumbar PCOs is provided through a case example and surgical technique video, Supplemental Digital Content 1, http://links.lww.com/CLINSPINE/A393.

Results: Lamina-preserving PCOs performed at multiple levels are a particularly useful surgical strategy to correct adult thoracolumbar scoliosis, as they provide significant mobilization of the spine and allow for wide decompression of neural elements centrally and in the lateral recess and foramen while maintaining significant central osseous surfaces for interlaminar fusion.

Conclusions: Multilevel lamina-preserving PCOs allow for excellent neural decompression, powerful restoration of appropriate sagittal and coronal spinal alignment through release of the lumbar spine, and facilitate interlaminar union, all of which are critical to optimal outcomes of operations for adult thoracolumbar scoliosis.

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保留椎板，II型后柱截骨术（PCOs）矫正成人（胸）腰椎侧凸。

研究设计：手术录像和补充稿件。目的：介绍一种渐进式椎板保留腰椎后柱截骨术（PCO）矫正成人胸腰椎侧凸的方法。背景资料总结：成人胸腰椎畸形手术的结果取决于充分的神经减压，恢复适当的对齐，并实现融合。了解一个优化实现这三个目标的手术策略是很重要的。方法：通过一个病例和手术技术视频，循序渐进地进行保留椎板的腰椎PCOs，补充数字内容1，http://links.lww.com/CLINSPINE/A393.Results：在多节段行椎板保留PCOs是矫正成人胸腰椎侧凸的一种特别有用的手术策略，因为它们提供了脊柱的显著活动，并允许在中央和外侧隐窝和孔内广泛减压，同时保持重要的中央骨表面以进行椎板间融合。结论：多节段椎板保留PCOs可通过腰椎松解实现良好的神经减压、矢状位和冠状位脊柱的有力恢复，并促进椎板间愈合，这些对成人胸腰椎侧凸手术的最佳效果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.