Pedicle Subtraction Osteotomy in the Cervical Spine

Study Design. Description of surgical technique with review of literature. Objective. To describe the surgical management of cervical spine deformity, using pedicle subtraction osteotomy. Summary of Background Data. Previous articles have primarily described Smith-Petersen osteotomies and Simmons' modifications to correct fixed cervical deformity. Those were typically performed with the patient awake and sedated in a seated position and without the use of spinal instrumentation. Methods. Description of a single surgeon's technique for performing pedicle subtraction osteotomy to treat fixed cervical deformity. Conclusion. The use of pedicle subtraction osteotomy in the cervical spine is a safe and effective procedure when performed by experienced surgeons and can result in a satisfying outcome for both the patient and the surgeon.