Abstract
Introduction
Thoracolumbar kyphosis represent a big challenge for spine surgeons specially if the case is of significant deformity which may affect patients life, Pedicle subtraction osteotomy (PSO) is one of the best methods that cane correct the deformity and give satisfactory result to the patients as it corrects the deformity and allow the patients to gain near normal daily activity.
Material and Methods
Four patients were treated by this method by PSO of lumbar 2 vertebra, 3 of them complaining of ankylosing spondylitis and one post traumatic, all patients are neurologically stable. All are assisted by X-ray and MRI preop. PSO is carried through a posterior midline approach with fixation of D12 to L4
Results
All patients are satisfied with near full correction average 90%.
Conclusion
PSO is an excellent method for management of rigid thoracolumbar kyphosis in adults