Correction of Severe and Rigid Scoliosis by Lateral Intervertebral Extrapleural Osteotomies Technique – A Feasible and Effective Strategy in Long Curves: 2-Dimensional Operative Video

Currently, posterior vertebral column resection (PVCR) remains the gold-standard “last-resort” osteotomy for the correction of severe and rigid spinal deformities.1 Despite its effectiveness, PVCR is associated with high rates of major complications.2,3 It remains our first-line approach for angular rigid and severe curves, such as those seen in congenital, post-tuberculosis kyphosis, and neurofibromatosis deformities.4 For severe and rigid, but long curves, however, we adopt the lateral intervertebral extrapleural osteotomy technique.5-8 Over the past decade, our strategy for these curves has combined an extrapleural approach with multiple diskectomies and inferior endplate wedge osteotomies, performed in association with staged procedure and halo gravity traction.9-11 Lateral intervertebral extrapleural osteotomy promotes less instability because no unsupported gap is created during surgery. Routine use of temporary rods is not necessary, and there is no need to open the thoracic cavity and more harmonic restauration by multilevel mobilization and translation in long curves. We have a higher correction power and lower neurological risk rates compared with PVCR.12-14 We are presenting a case of a 23-year-old man with neglected kyphoscoliosis, which started at the age of 8 years, congenital rubella and agenesis of the thumbs. Ethics committee approval was not required by the institution. The patient consented to do the procedure. The patient consented to the use/publication of his/her image. {"href":"Single Video Player","role":"media-player-id","content-type":"play-in-place","position":"float","orientation":"portrait","label":"","caption":"","object-id":[{"pub-id-type":"doi","id":""},{"pub-id-type":"other","content-type":"media-stream-id","id":"1_jdr7jird"},{"pub-id-type":"other","content-type":"media-source","id":"Kaltura"}]}