Smith Justin S, Wang Vincent Y, Ames Christopher P
University of Virginia, Department of Neurological Surgery, Charlottesville, Virginia, USA.
Neurosurgery. 2008 Sep;63(3 Suppl):177-82. doi: 10.1227/01.NEU.0000320429.32113.85.
Vertebral column resection (VCR) is a surgical technique that may be applied for correction of moderate to severe spinal deformities, including those with large rigid curves, fixed trunk translation, or asymmetry between the length of the convex and concave column of the deformity. This article reviews the VCR technique as it relates to correction of rigid spinal deformity, including case examples to illustrate its application.
The literature was reviewed in reference to the use of VCR for correction of rigid spinal deformity.
VCR involves complete resection of one or more vertebral segments using either combined anterior and posterior approaches or a posterior-only approach and enables significant deformity correction in all three dimensions. Herein, we provide description of the indications, preoperative planning, surgical techniques, complication avoidance, postoperative management, and case examples for VCR.
VCR enables significant correction of rigid spinal deformities in cases in which less aggressive approaches are not adequate.
脊柱切除术（VCR）是一种外科技术，可用于矫正中度至重度脊柱畸形，包括那些具有大的僵硬曲线、固定的躯干移位或畸形凸侧和凹侧柱长度不对称的情况。本文回顾了与僵硬脊柱畸形矫正相关的VCR技术，并通过病例实例说明其应用。
回顾了有关使用VCR矫正僵硬脊柱畸形的文献。
VCR包括使用前后联合入路或仅后入路完全切除一个或多个椎体节段，并能够在所有三个维度上显著矫正畸形。在此，我们提供了VCR的适应症、术前规划、手术技术、并发症预防、术后管理及病例实例的描述。
在采用较温和方法不足以矫正的病例中，VCR能够显著矫正僵硬脊柱畸形。
