Vertebral Osteotomy for Kyphosis, Especially in Marie-Strumpell Arthritis

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Abstract
A technique of vertebral osteotomy for the correction of severe kyphosis is described which, if necessary, can be performed in two stages; on the posterior segment and the anterior segment of the spinal column, respectively. The levels suitable for osteotomy are discussed. Indication for the procedure is based upon the age and occupational status of the patient and upon the presence of concomitant lesions, especially at the hips. The results, in fifty patients on whom vertebral osteotomy was performed according to this technique, have been favorable. In the majority, the deformity had been so severe that it caused considerable functional disturbance. After osteotomy, general health was much improved and the visceral capacity increased. The evolution of the arthritic process ceased in nearly all cases. The emotional status of the patients was improved; a feeling of inferiority was eliminated because the patient could walk without difficulty.

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