Reverse posterior column osteotomy (rPCO) for fixed thoracolumbar hyperlordosis correction: Technique and case report

Alex S. Ha, Meghan Cerpa, Lawrence G. Lenke

Research output: Contribution to journalArticlepeer-review

Abstract

Study design: Case report. Objectives: There is limited literature describing rigid thoracolumbar hyperlordosis correction. This case will highlight the reverse posterior column osteotomy (rPCO) technique to correct rigid thorcolumbar hyperlordosis, which is rarely described in literature. Summary of background data: Rigid thorcolumbar hyperlordosis is an infrequently encountered pathology. There is a paucity of surgical approach described in literature to correct this deformity. Methods: A 21-year-old female patient with a history of adolescent idiopathic scoliosis presented with cervicothoracic proximal junctional kyphosis and a fixed thorcolumbar hyperlordosis after two previous spine surgeries with the final construct fusing from T3-L4. Results: Patient underwent deformity correction involving T3 vertebral column resection and rPCO's at T12-L3 to correction regional and global sagittal malalignment. Conclusions: The rPCO technique can reliably correct fixed thorcolumbar hyperlordosis.

Original languageEnglish (US)
Article number101147
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume25
DOIs
StatePublished - Sep 2021
Externally publishedYes

Keywords

  • Deformity
  • Reverse posterior column osteotomy
  • Spine surgical technique
  • Thoracolumbar hyperlordosis
  • Verterbral column resection

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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