title: Osteotomies in the treatment of spinal deformities: indications, classification, and surgical planning.
abstract: The surgical treatment of adult spinal deformity has been shown to offer superior clinical and radiographic outcomes compared with nonoperative approaches; furthermore, osteotomies are increasingly applied for treating spinal deformities. Establishing a plan for a patient suffering from marked spinal deformity is a matter of consideration of certain radiographic parameters which correlate with health-related quality of life scores, adherence to consistent principles of alignment and established formulas, and selecting the appropriate osteotomies. This is a review of the most recent work on vertebral osteotomies and includes a summary of a systematic and anatomically based osteotomy classification. A universal classification will facilitate communication, standardize outcomes research, and establish a framework upon which indications can be properly studied and described. Ongoing multicenter collaboration is certain to drive a more evidence-based approach to the complex clinical scenarios of patients suffering from spinal deformity.
authors.affiliation: Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, 10003, USA.
authors.forename: Bassel
authors.initials: B
authors.lastname: Diebo
authors.forename: Shian
authors.initials: S
authors.lastname: Liu
authors.forename: Virginie
authors.initials: V
authors.lastname: Lafage
authors.forename: Frank
authors.initials: F
authors.lastname: Schwab
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000145:classification / Q000379:methods* / Q000706:statistics & numerical data; D010347:Patient Care Planning; D011788:Quality of Life; D011859:Radiography; D012600:Scoliosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013131:Spine / Q000601:surgery*