Minimally Invasive Anterior Column Realignment for the Treatment of Adult Spinal Deformity: A Review of the Literature

Publication date: Available online 10 August 2017
Source:Seminars in Spine Surgery
Author(s): Jonathan G. Seavey, Theodore Steelman, Melvin Helgeson, David E. Gwinn
Surgical treatment of adult spine deformity requires correction in multiple planes. Currently employed open and minimally invasive techniques and instrumentation allow for robust rotational and coronal plane correction. However, large sagittal deformities frequently require vertebral osteotomies, which can increase morbidity and complications, particularly in an elderly population. Anterior column realignment has emerged as a technique that can provide significant sagittal plane correction through a minimally invasive approach. We will provide an overview of this procedure, technical challenges, risks, outcomes and review the recent literature on anterior column realignment for the treatment of adult spine deformity.



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