English
Spinal Osteotomy Surgery

Spinal Osteotomies

Spinal Osteotomy Surgery

A surgery known as Spinal Osteotomy is commonly used to address spinal irregularities. This procedure is particularly effective in correcting extensive and gradual kyphosis curves, such as those resulting from Scheuermann's kyphosis or ankylosing spondylitis. It involves removing bone from the vertebral arch at the back. Osteotomy is typically a component of most surgeries for spinal deformities. Spine Osteotomy is generally required to repair severe, stiff, and fixed spine deformities when non-surgical treatments fail to improve the deformity over time or when symptoms such as numbness, weakness, or pain from nerve compression are not relieved. Instrumentation and placement usually correct a mild or flexible deformity.

Osteotomies, to be more precise, are structural procedures in which whole vertebrae or portions of vertebrae are extracted. The goal of the treatment is to permanently realign the spine to treat diseases like kyphosis and scoliosis. Manipal Hospitals, Mukundapur, has a centre of excellence in spine care, backed by a team of experienced professionals who employ cutting-edge technologies in performing Spinal Osteotomy procedure, enhancing treatment outcomes.

FAQ's

A surgical technique called a Spinal Osteotomy is used to treat several illnesses, such as:

  • Significant spinal irregularities, including kyphosis and scoliosis. Ankylosing spondylitis, resulting in spinal deformity and rigidity

  • Deformities of the spine following trauma

  • Spinal abnormalities during birth

  • Previous unsuccessful attempts at Spinal Surgery like degenerative spine illnesses resulting in a notable deformity or instability

  • Static sagittal imbalance, or trouble standing up straight

  • Deformity caused by osteoporotic spinal fractures like neuromuscular scoliosis

  • Spinal infections that result in malformations

Surgical treatment is often required for these problems because they usually cause discomfort, functional limitations, and a decreased quality of life. 

One can categorise corrective Spine Osteotomies into many procedures. Your healthcare provider will advise you on the best course of action to improve your quality of life. These are:

  • Posterior Column Osteotomy (PCO): A PCO is a surgical procedure that can correct kyphotic curves by removing a small portion of bone from the posterior vertebral arch, typically improving the angle by 10–20 degrees. This procedure is usually used to treat progressive, long-lasting kyphotic curves caused by disorders such as ankylosing spondylitis.

  • Pedicle Subtraction Osteotomy (PSO): PSO, or Pedicle Subtraction Osteotomy, is a surgical technique used to address conditions such as severe kyphosis and flatback syndrome by removing the pedicles, which are components of the vertebral body and arch. This procedure corrects the vertebral posture by about 30 degrees. 

  • Vertebral Column Resection (VSR): A Vertebral Skeleton Replacement (VSR) replaces the whole vertebral column with implants and bone grafts called cages. To regain spinal stability, screws and rods are inserted while the grafts heal. It removes the greatest amount of bone and offers about 80 degrees of correction to straighten out acute curvature.

  • Spinopelvic Fixation: Spinopelvic Fixation involves fastening the base of the spine to the surrounding pelvic bones with screws, rods, or other tools. This is done to minimise the strain that results from bending and rotation at the sacrum-lumbar spine junction.

If the abnormal curvature of your spine is more severe, your doctor might suggest a corrective Spine Osteotomy. This could indicate a scoliosis (sideways curve) of 45 degrees or more or kyphosis (hunching) of 70 degrees or more. The following are some benefits of a corrective Spine Osteotomy:

  • MinimiSed pain

  • Less fatigue because a straighter spine helps support your upper body

  • By standing up straight and adjusting your posture, you can enhance your physical attractiveness

  • Reduce the strain on vital organs like the heart and lungs

  • Prevent the malformation from getting worse

Spinal Osteotomy complications include:

  • Infections 
  • Transfusion-needed blood loss
  • Damage to the nerves results in paralysis, numbness, or weakness 
  • Tears in the dura and leaks of CSF fluid
  • Instrument malfunction (e.g., broken rods or screws)
  • Poor bone healing or nonunion
  • Adjacent segment illness or issues in the spinal segments adjacent to the location that was operated on
  • Risk of problems associated with anaesthesia 
  • Persistent pain or discomfort 
  • Deep vein thrombosis and pulmonary embolism
  • Recurrence of deformity or instability of the spine

Careful preoperative and postoperative preparation is required to address these 
Issues.

A quick spinal anaesthetic combined with sedation is the best method of action. The spinal anaesthetic prevents the patient from feeling pain, and the sedation enables them to be unconscious throughout the procedure. These procedures were previously carried out under general anaesthesia (GA), which necessitates the administration of large doses of intravenous anaesthetic agents and can cause unpleasant side effects like nausea and vomiting. In situations where the patient is either unable to receive spinal anaesthesia or prefers not to, a safe general anaesthetic (GA) can be administered without difficulty.

Following spine surgery, taking a walk around your home or outside can significantly impact your recovery. As your body works to heal, the surgical incisions and movements help you feel more energised and mobile. Walking after surgery can also have a significant positive effect on your mental and emotional well-being.

Following a Spinal Osteotomy, recovery times vary. Hospital stays usually last five to seven days. The first phase of recovery involves four to six weeks of pain management and limited movement, often requiring the use of a brace. While Spinal Fusion and healing might take up to 18 months, most patients return to their regular activities in 3 to 6 months. It can take up to two years for nerve damage to be repaired. A successful recovery requires physical therapy and follow-up appointments.

Home Mukundapur Specialities Spine-care Spinal-osteotomies

Appointment
Health Check
Contact Us
review icon
Review Us
Call Us