The "Rail Technique" for Correction of Cervicothoracic Kyphosis: Case Report and Surgical Technique Description.

ABSTRACT: Cervicothoracic deformity correction often necessitates a shortening operation, consisting of a 3-column osteotomy (3CO). While effective, segmental compression and in situ and cantilever bending often place screws under considerable stress and may jeopardize deformity correction. In this report, we present the surgical technique of a novel method, the "rail technique," to shorten across a vertebral column resection (VCR) for cervicothoracic deformity correction. A 65-year-old woman with a history of a C5-pelvis posterior instrumented fusion (PSIF) presented with chin-on-chest deformity after a prior proximal junctional failure/kyphosis at T4 (30° T3-5) above a prior T5-pelvis PSIF that was stabilized in situ. She underwent an uncomplicated revision C2-T10 PSIF with shortening across a T4

SUBMITTER: Theologis AA 

PROVIDER: S-EPMC7538351 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature