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KMID : 1145220200170030640
Neurospine
2020 Volume.17 No. 3 p.640 ~ p.647
Vertebral Body Sliding Osteotomy for Cervical Myelopathy With Rigid Kyphosis
Lee Dong-Ho

Park Se-Han
Lee Woon-Sang
Byun Chan-Woong
Seok Sang-Yun
Cho Jae-Hwan
Hwang Chang-Ju
Lee Choon-Sung
Lee Hyung-Rae
Abstract
Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression is not possible with rigid kyphosis. Vertebral body sliding osteotomy (VBSO) is a safe and novel technique for anterior decompression in patients with multilevel cervical spondylotic myelopathy. It is safe in terms of dural tear, pseudarthrosis, and graft dislodgement, which are demonstrated at high rates in anterior cervical corpectomy and fusion. In addition, VBSO is a powerful method for restoring cervical lordosis through multilevel anterior cervical discectomy and fusion above and below the osteotomy level. It may be a feasible treatment option for patients with cervical spondylotic myelopathy and kyphotic deformity. This is a technical note and literature review that describes the procedures involved in VBSO.
KEYWORD
Cervical deformity, Cervical lordosis, Cervical myelopathy, Sagittal alignment, Vertebral body sliding osteotomy
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