Three-Column Osteotomies: Past, Present, and Future

Lawrence G. Lenke , Fthimnir M. Hassan , Sarthak Mohanty , Munish Gupta , Christopher Ames , International Spine Study Group
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Abstract

Three-Column Osteotomies (3CO's) refer to osteotomies that involve surgical removal of parts or all of the posterior, middle and anterior columns of the spine. The indications for using a 3CO in the surgical treatment of Adult Spinal Deformity (ASD) have slowly evolved over time but remains idiosyncratic for surgeons treating complex ASD patients. This manuscript will focus on the past and present use of 3CO's to highlight the changes over time in the indications, techniques, surgical results, complications and outcomes to place these procedures in the proper context to then discuss their probable use among ASD patients in the future.

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三柱截骨术:过去、现在和未来
三柱截骨术(3CO)是指通过手术切除部分或全部脊柱后柱、中柱和前柱的截骨术。随着时间的推移,在成人脊柱畸形(ASD)的手术治疗中使用 3CO 的适应症也在慢慢演变,但对于治疗复杂 ASD 患者的外科医生来说,3CO 的适应症仍然很特殊。本手稿将重点介绍 3CO 在过去和现在的使用情况,以突出其在适应症、技术、手术效果、并发症和结果方面随时间推移而发生的变化,从而将这些手术置于适当的背景下,进而讨论其在未来 ASD 患者中的可能使用情况。
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来源期刊
Seminars in Spine Surgery
Seminars in Spine Surgery Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
53
审稿时长
2 days
期刊介绍: Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.
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