What is included in preoperative planning for the surgical treatment of kyphosis?

Updated: May 04, 2020
  • Author: R Carter Cassidy, MD; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

Careful surgical planning is crucial for successful operative treatment of kyphosis. The goals of surgery are to correct the deformity and to remove any neural compression, if present.

The age of the patient choosing surgery should play a role in the planned correction. Aging causes an increase in kyphosis naturally, and some advocate limiting the planned correction in older patients in order to minimize mechanical complications. [43]

Correction of the deformity can be done via an anterior, a posterior, or a combined anterior-posterior approach. Posterior surgery is most commonly described and performed. Posterior arthrodesis for kyphosis can be an extensive operation, with many spinal segments typically included in the fusion mass. [44]  This procedure is most helpful for long, sweeping, flexible curves. In cases of rigid deformity, osteotomies can be performed to improve the correction. Combined anterior-posterior surgery may be required for severe deformities. [45]


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