%0 Journal Article
%T Results of Posterior Vertebral Column Resection: Surgical Modification of Suk Technique
%A Kursat Kara
%A Muren Mutlu
%A Osman Yaray
%A Ufuk Aydinli
%J Global Spine Journal
%@ 2192-5690
%D 2018
%R 10.1177/2192568217739854
%X Consecutive, retrospective review. To evaluate and report a modified posterior vertebral column technique. We present a retrospective analysis of 20 patients. Patients having severe 3-dimensional deformity with flexibility less than 20% and managed by posterior vertebral body resection (PVCR) between 2011 and 2014 were included in this study. There were 12 female and 8 male patients, with a mean age of 18 year (range = 3-63 years). The average follow-up was 3.5 years (2-5 years). The preoperative coronal plane deformity was 84¡ã (70¡ã to 120¡ã) and corrected to 42¡ã (28¡ã to 68¡ã), showing 60% scoliosis correction. Average preoperative local kyphotic angle was 92¡ã (82¡ã to 110¡ã). Correction rate for kyphosis was 62%. All patients after surgery showed their baseline neurological status, and no complications were encountered. The mean estimated blood loss was 1072£¿mL (350-2000£¿mL). Thirty-nine percent (33% to 50%) of total blood loss occurred after vertebral body resection, and 61% (50% to 67%) blood loss occurred after the removal of posterior elements. The ratio of estimated blood loss to estimated body blood volume was 26% (range = 19% to 52%). We found that 60% of total bleeding occurs during and after posterior bone resection. Spinal cord is open to possible iatrogenic direct spinal cord injury with surgical instruments for a much shorter period of time compared with the original technique
%K severe deformity
%K posterior vertebral column resection
%U https://journals.sagepub.com/doi/full/10.1177/2192568217739854