Grade 6 osteotomy

  • Anatomical Resection
    • Removal of several adjacent vertebrae, including
      • At least one complete vertebral body AND
      • A partial or complete second vertebra.
        • Which might be only
          • Partially developed (e.g., congenital malformation) OR
          • Partially present (e.g., due to infection, tumor destruction, or remodelling).
    • Includes the resection of adjacent discs associated with these vertebral segments.
notion image
  • Variation
    • Vertebral Column Resection (VCR):
    • Dubousset and Cotrel
      • For children and adolescents aimed at 3-dimensional correction of spinal deformities, involving posterior element removal, strategic decortication, and instrumentation, is also associated with Grade 6.
    • Dvorak et al.
      • An anterior spinal reconstruction following traumatic vertebral compression fractures where multiple osteotomies are performed, preserving vertebral endplates but resecting vertebral bodies, is another example.