Osteotomies in the treatment of spinal deformities: Indications, classification, and surgical planning

European Journal of Orthopaedic Surgery and Traumatology

Volumn 24, Issue SUPPL.1, 2014, Pages

  Diebo, Bassel ^a   Liu, Shian ^a   Lafage, Virginie ^a   Schwab, Frank ^a  

^a NYU HOSPITAL FOR JOINT DISEASES   (United States)

Author keywords

Adult spinal deformity; Anatomical classification; Spinal osteotomy; Surgical planning

Indexed keywords

CLINICAL ASSESSMENT; CONCEPTUAL FRAMEWORK; DISEASE CLASSIFICATION; DISEASE COURSE; EVIDENCE BASED MEDICINE; INTERVERTEBRAL DISK; MEDICAL RESEARCH; OSTEOTOMY; OUTCOME ASSESSMENT; PATHOLOGICAL ANATOMY; PATHOPHYSIOLOGY; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; QUALITY OF LIFE; RADIOLOGICAL PARAMETERS; REVIEW; SCORING SYSTEM; SPINAL OSTEOTOMY; SPINE MALFORMATION; SPINE RADIOGRAPHY; SPINE SURGERY; STANDARDIZATION; SURGICAL APPROACH; SURGICAL TECHNIQUE; TREATMENT INDICATION; TREATMENT PLANNING; TREND STUDY; AGED; CLASSIFICATION; FEMALE; HUMAN; MALE; MIDDLE AGED; PATIENT CARE PLANNING; PROCEDURES; RADIOGRAPHY; SCOLIOSIS; SPINE; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; MIDDLE AGED; OSTEOTOMY; PATIENT CARE PLANNING; QUALITY OF LIFE; SCOLIOSIS; SPINE;

EID: 84903740419     PISSN: 16338065     EISSN: 14321068     Source Type: Journal    
DOI: 10.1007/s00590-014-1471-7     Document Type: Review

References (81)

1. Biot B, Perdrix D (1982) Fréquence de la scoliose lombaire à l'âge adulte. Ann Med Phys 25:251-254
2. Francis RS (1988) Scoliosis screening of 3,000 college-aged women. The Utah Study-phase 2. Phys Ther 68:1513-1516
3. Robin GC, Span Y, Steinberg R et al (1982) Scoliosis in the elderly: a follow-up study. Spine 7:355-359
4. Grevitt M, Khazim R, Webb J et al (1997) The short form-36 health survey questionnaire in spine surgery. J Bone Joint Surg Br 79:48-52
5. Kostuik JP, Bentivoglio J (1981) The incidence of low-back pain in adult scoliosis. Spine 6:268-273
6. Schwab F, Dubey A, Gamez L et al (2005) Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine 30:1082-1085
7. Shrestha LB (2006) CRS Report for Congress
8. Carter OD, Haynes SG (1987) Prevalence rates for scoliosis in US adults: results from the first National Health and Nutrition Examination Survey. Int J Epidemiol 16:537-544
9. Saban KL, Penckofer SM (2007) Patient expectations of quality of life following lumbar spinal surgery. J Neurosci Nurs 39:180-189
10. Saban KL, Penckofer SM (2007) Patient expectations of quality of life following lumbar spinal surgery. J Neurosci Nurs 39(3):180-189
11. Bridwell KH, Glassman S, Horton W et al (2009) Does treatment (nonoperative and operative) improve the two-year quality of life in patients with adult symptomatic lumbar scoliosis: a prospective multicenter evidence-based medicine study. Spine 34:2171-2178. doi: 10.1097/BRS. 0b013e3181a8fdc8
12. Smith JS, Shaffrey CI, Berven S et al (2009) Improvement of back pain with operative and nonoperative treatment in adults with scoliosis. Neurosurgery 65:86-93. doi: 10.1227/01.NEU.0000347005.35282.6C discussion 93-4
13. Mok JM, Cloyd JM, Bradford DS et al (2009) Reoperation after primary fusion for adult spinal deformity. Spine 34:832-839
14. Schwab F, Dubey A, Pagala M et al (2003) Adult scoliosis: a health assessment analysis by SF-36. Spine 28:602-606. doi: 10.1097/01.BRS.0000049924. 94414.BB
15. Schwab F, El-Fegoun AB, Gamez L et al (2005) A lumbar classification of scoliosis in the adult patient: preliminary approach. Spine 30:1670-1673
16. Schwab FJ, Smith VA, Biserni M et al (2002) Adult scoliosis: a quantitative radiographic and clinical analysis. Spine 27:387-392
17. Lafage V, Schwab F, Patel A et al (2009) Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine 34:E599-E606. doi: 10.1097/BRS.0b013e3181aad219
18. Smith JS, Klineberg E, Schwab F et al (2013) Change in classification grade by the SRS-Schwab adult spinal deformity classification predicts impact on health-related quality of life measures: prospective analysis of operative and non-operative treatment. Spine 38:1663-1671. doi: 10.1097/BRS.0b013e31829ec563
19. Terran J, Schwab F, Shaffrey CI et al (2013) The SRS-Schwab adult spinal deformity classification: assessment and clinical correlations based on a prospective operative and nonoperative cohort. Neurosurgery 73:559-568. doi: 10.1227/NEU.0000000000000012
20. Protopsaltis TS, Schwab FJ, Smith JS et al (2013) The T1 Pelvic Angle (TPA), a novel radiographic parameter of sagittal deformity, correlates strongly with clinical measures of disability. Spine J 13:S61. doi: 10.1016/j.spinee. 2013.07.173
21. Schwab F, Ungar B, Blondel B et al (2012) Scoliosis research society-Schwab adult spinal deformity classification: a validation study. Spine 37:1077-1082. doi: 10.1097/BRS.0b013e31823e15e2
22. Glassman SD, Bridwell K, Dimar JR et al (2005) The impact of positive sagittal balance in adult spinal deformity. Spine 30:2024-2029
23. Hassanzadeh H, Jain A, El Dafrawy MH et al (2012) Three-column osteotomies in the treatment of spinal deformity in adult patients 60 years old and older: outcome and complications. Spine. doi: 10.1097/BRS.0b013e31827c2415
24. Smith JS, Shaffrey CI, Glassman SD et al (2013) Clinical and radiographic parameters that distinguish between the best and worst outcomes of scoliosis surgery for adults. Eur Spine J 22:402-410. doi: 10.1007/s00586-012-2547-x
25. Voos K, Boachie-Adjei O, Rawlins BA (2001) Multiple vertebral osteotomies in the treatment of rigid adult spine deformities. Spine 26:526-533
26. Wang MY, Berven SH (2007) Lumbar pedicle subtraction osteotomy. Neurosurgery 60:ONS140-ONS146. doi: 10.1227/01.NEU.0000249240.35731.8F discussion ONS146
27. Moal B, Lafage V, Smith JS et al (2012) Clinical improvement through surgery for adult spinal deformity (ASD): what can be expected and who is likely to benefit most? In: Proceedings of the NASS 27th Annual Meeting. Spine J, pp 99S-165S
28. Liu S, Schwab F, Smith JS et al (2014) Likelihood of reaching minimal clinically important difference in adult spinal deformity: a comparison of operative and nonoperative treatment. Ochsner J 14:1-12
29. Li G, Passias P, Kozanek M et al (2009) Adult scoliosis in patients over sixty-five years of age: outcomes of operative versus nonoperative treatment at a minimum two-year follow-up. Spine 34:2165-2170. doi: 10.1097/BRS. 0b013e3181b3ff0c
30. Bridwell KH (2006) Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs. vertebral column resection for spinal deformity. Spine 31:S171-S178. doi: 10.1097/01.brs.0000231963.72810.38
31. Weinstein SL, Ponseti IV (1983) Curve progression in idiopathic scoliosis. J Bone Joint Surg Am 65:447-455
32. Bakaloudis G, Lolli F, Di Silvestre M et al (2011) Thoracic pedicle subtraction osteotomy in the treatment of severe pediatric deformities. Eur Spine J 20(Suppl 1):S95-S104. doi: 10.1007/s00586-011-1749-y
33. Smith-Petersen MN, Larson CB, Aufranc OE (1969) Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis. Clin Orthop Relat Res 66:6-9
34. Smith-Petersen MN, Larson CB, Aufranc OE (1945) Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis. J Bone Joint Surg Am 27:1-11
35. Ponte A, Vero B, Siccardi G (1984) Surgical treatment of scheuermann's hyperkyphosis. In: 19th Annual Meeting of the Scoliosis Research Society
36. Heinig C (1984) Eggshell procedure. Segmental spinal instrumentation, pp 221-234
37. Bridwell KH, Lewis SJ, Lenke LG et al (2003) Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. J Bone Joint Surg Am 85-A:454-463
38. Murrey DB, Brigham CD, Kiebzak GM et al (2002) Transpedicular decompression and pedicle subtraction osteotomy (eggshell procedure): a retrospective review of 59 patients. Spine 27:2338-2345. doi: 10.1097/01.BRS.0000030853.62990.BC
39. Berven S, Deviren V, Smith JA et al (2001) Management of fixed sagittal plane deformity: results of the transpedicular wedge resection osteotomy. Spine 26:2036-2043
40. Schwab F, Blondel B, Chay E et al (2013) The comprehensive anatomical spinal osteotomy classification. Neurosurgery. doi: 10.1227/NEU.0000000000000182
41. Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 8:817-831
42. Schwab F, Blondel B, Chay E et al (2014) The comprehensive anatomical spinal osteotomy classification. Neurosurgery 74:112-120. doi: 10.1227/NEU.0000000000000182o
43. Burgos J, Rapariz J, Gonzalez-Herranz P (1998) Anterior endoscopic approach to the thoracolumbar spine. Spine 23:2427-2431
44. Suh SW, Modi HN, Yang J et al (2009) Posterior multilevel vertebral osteotomy for correction of severe and rigid neuromuscular scoliosis: a preliminary study. Spine 34:1315-1320. doi: 10.1097/BRS.0b013e3181a028bc
45. Pascal-Moussellard H, Klein J, Schwab F, Farcy J (1999) Simultaneous anterior and posterior approaches to the spine for revision surgery: current indications and techniques. J Spinal Disord Tech 12:206-213
46. Scudese V, Calabro J (1963) Vertebral wedge osteotomy. Correction of rheumatoid (ankylosing) spondylitis. JAMA 186:627-631
47. Brodner W, Mun Yue W, Moller H et al (2003) Short segment bone-on-bone instrumentation for single curve idiopathic scoliosis. Spine 28:S224-S233
48. Moal B, Schwab FJ, Ames CP et al (2012) Radiographic outcomes of adult spinal deformity correction: a critical analysis of variability and failures across deformity patterns. Congress of Neurological Surgeons, 2012 Annual Meeting, Chicago, Illionis, 6-10 October 2012
49. Schwab F, Patel A, Shaffrey CI et al (2012) Sagittal realignment failures following pedicle subtraction osteotomy surgery: are we doing enough? J Neurosurg Spine 16:539-546. doi: 10.3171/2012.2.SPINE11120
50. Lafage V, Smith JS, Bess S et al (2012) Sagittal spino-pelvic alignment failures following three column thoracic osteotomy for adult spinal deformity. Eur Spine J 21:698-704. doi: 10.1007/s00586-011-1967-3
51. Jackson RP, McManus AC (1994) Radiographic analysis of sagittal plane alignment and balance in standing volunteers and patients with low back pain matched for age, sex, and size. A prospective controlled clinical study. Spine 19:1611-1618
52. Schwab F, Lafage V, Patel A, Farcy J-P (2009) Sagittal plane considerations and the pelvis in the adult patient. Spine 34:1828-1833. doi: 10.1097/BRS.0b013e3181a13c08
53. Jackson RP, Hales C (2000) Congruent spinopelvic alignment on standing lateral radiographs of adult volunteers. Spine 25:2808-2815
54. Smith JS, Bess S, Shaffrey CI et al (2012) Dynamic changes of the pelvis and spine are key to predicting postoperative sagittal alignment after pedicle subtraction osteotomy: a critical analysis of preoperative planning techniques. Spine 37:845-853. doi: 10.1097/BRS.0b013e31823b0892
55. Lafage V, Schwab F, Vira S et al (2011) Spino-pelvic parameters after surgery can be predicted: a preliminary formula and validation of standing alignment. Spine 36:1037-1045. doi: 10.1097/BRS.0b013e3181eb9469
56. Maier S, Smith JS, Schwab F et al (2014) Revision surgery after three-column osteotomy in 335 adult spinal deformity patients: inter-center variability and risk factors. Spine. doi: 10.1097/BRS.0000000000000304
57. Hart R, McCarthy I, O'brien M et al (2013) Identification of decision criteria for revision surgery among patients with proximal junctional failure following surgical treatment for spinal deformity. Spine 38:1223-1227. doi: 10.1097/BRS.0b013e31829fedde
58. Blam OG, Vaccaro AR, Vanichkachorn JS et al (2003) Risk factors for surgical site infection in the patient with spinal injury. Spine 28:1475-1480. doi: 10.1097/01.BRS.0000067109.23914.0A
59. Ames CP, Barry JJ, Keshavarzi S et al (2013) Perioperative outcomes and complications of pedicle subtraction osteotomy in cases with single versus two attending surgeons. Spine Deform 1:51-58. doi: 10.1016/j.jspd.2012.10.004
60. Goz V, Slobodyanyuk K, Cheriyan T et al (2013) Antifibrinolytics reduce blood loss in adult spinal deformity surgery: a prospective randomized controlled trial. Spine J 13:S1. doi: 10.1016/j.spinee.2013.07.032
61. Mummaneni PV, Tu T-H, Ziewacz JE et al (2013) The role of minimally invasive techniques in the treatment of adult spinal deformity. Neurosurg Clin N Am 24:231-248. doi: 10.1016/j.nec.2012.12.004
62. Moal B, Lafage VC, Maier SP et al (2014) Discrepancies in preoperative planning and operative execution in the correction of sagittal spinal deformities. In: North American Spine Society 29th Annual Meeting (San Francisco)
63. Le Huec JC, Leijssen P, Duarte M, Aunoble S (2011) Thoracolumbar imbalance analysis for osteotomy planification using a new method: FBI technique. Eur Spine J 20(Suppl 5):669-680. doi: 10.1007/s00586-011-1935-y
64. Debarge R, Demey G (2010) Radiological analysis of ankylosing spondylitis patients with severe kyphosis before and after pedicle subtraction osteotomy. Eur Spine J 19:65-70. doi: 10.1007/s00586-009-1158-7
65. Vialle R, Levassor N, Rillardon L et al (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Joint Surg Am 87:260-267. doi: 10.2106/JBJS.D.02043
66. Schwab F, Bess RS, Blondel B et al (2011) Combined assessment of pelvic tilt, lumbar lordosis/pelvic incidence mismatch and sagittal vertical axis predicts disability in adult spinal deformity: a prospective analysis. Spine J 11:S158-S159. doi: 10.1016/j.spinee.2011.08.380
67. Akbar M, Terran J, Ames CP et al (2013) Use of Surgimap Spine in sagittal plane analysis, osteotomy planning, and correction calculation. Neurosurg Clin N Am 24:163-172. doi: 10.1016/j.nec.2012.12.007
68. Schwab F, Farcy J, Bridwell K et al (2006) A clinical impact classification of scoliosis in the adult. Spine 31:2109-2114. doi: 10.1097/01.brs.0000231725.38943.ab
69. Glassman SD, Berven S, Bridwell K et al (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682-688
70. Obeid I, Hauger O, Aunoble S et al (2011) Global analysis of sagittal spinal alignment in major deformities: correlation between lack of lumbar lordosis and flexion of the knee. Eur Spine J 20(Suppl 5):681-685. doi: 10.1007/s00586-011-1936-x
71. Gangnet N, Pomero V, Dumas R et al (2003) Variability of the spine and pelvis location with respect to the gravity line: a three-dimensional stereoradiographic study using a force platform. Surg Radiol Anat 25:424-433. doi: 10.1007/s00276-003-0154-6
72. Lafage V, Schwab F, Skalli W et al (2008) Standing balance and sagittal plane spinal deformity: analysis of spinopelvic and gravity line parameters. Spine 33:1572-1578. doi: 10.1097/BRS.0b013e31817886a2
73. Aurouer N, Obeid I, Gille O et al (2009) Computerized preoperative planning for correction of sagittal deformity of the spine. Surg Radiol Anat 31:781-792. doi: 10.1007/s00276-009-0524-9
74. Barrey C, Roussouly P, Le Huec J-C et al (2013) Compensatory mechanisms contributing to keep the sagittal balance of the spine. Eur Spine J 22(Suppl 6):S834-S841. doi: 10.1007/s00586-013-3030-z
75. Ondra SL, Marzouk S, Koski T et al (2006) Mathematical calculation of pedicle subtraction osteotomy size to allow precision correction of fixed sagittal deformity. Spine 31:E973-E979. doi: 10.1097/01.brs.0000247950.02886.e5
76. Van Royen BJ, De Gast A, Smit TH (2000) Deformity planning for sagittal plane corrective osteotomies of the spine in ankylosing spondylitis. Eur Spine J 9:492-498
77. Van Royen BJ, Scheerder FJ, Jansen E, Smit TH (2007) ASKyphoplan: a program for deformity planning in ankylosing spondylitis. Eur Spine J 16:1445-1449. doi: 10.1007/s00586-007-0371-5
78. Vialle R, Levassor N, Rillardon L et al (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. J Bone Joint Surg Am 87:260-267. doi: 10.2106/JBJS.D.02043
79. Lafage V, Schwab F, Vira S et al (2011) Does vertebral level of pedicle subtraction osteotomy correlate with degree of spinopelvic parameter correction? J Neurosurg Spine 14:184-191. doi: 10.3171/2010.9.SPINE10129
80. Ames CP, Smith JS, Scheer JK et al (2012) Impact of spinopelvic alignment on decision making in deformity surgery in adults: a review. J Neurosurg Spine 16:547-564. doi: 10.3171/2012.2.SPINE11320
81. Lafage V, Ames C, Schwab F et al (2012) Changes in thoracic kyphosis negatively impact sagittal alignment after lumbar pedicle subtraction osteotomy: a comprehensive radiographic analysis. Spine 37:E180-E187. doi: 10.1097/BRS.0b013e318225b926