ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
This article is part of the Research TopicDiagnosis and Treatment in Age-related musculoskeletal disordersView all 21 articles
Transpedicular Lower Vertebral Space Osteotomy For Thoracolumbar Kyphosis Secondary To Old Osteoporotic Vertebral Compression Fractures
Provisionally accepted
- 1People’s Hospital of Changshou, Changshou, China
- 2The First Affiliated Hospital of Chongqing Medical University, chongqing, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Background: Despite rapid developments in spinal osteotomy techniques, many 2 inevitable short-and long-term complications still occur. The objective of this 3 study was to evaluate the clinical efficacy of transpedicular lower vertebral space 4 osteotomy for the treatment of thoracolumbar kyphosis secondary to 5 long-standing osteoporotic vertebral compression fractures, and to explore more 6 effective surgical methods to guide clinical practice. 7 Methods: We retrospectively analysed the data of patients who were diagnosed 8 with thoracolumbar kyphosis secondary to long-standing osteoporotic vertebral 9 compression fractures and who underwent corrective surgery at our hospital 10 between January 2014 and December 2020. The patients were divided into two 11 groups: the PSO group (n=16) and the transpedicular lower vertebral space 12 osteotomy group (n=11). Operation time, bleeding volume, postoperative 13 complications, and postoperative drainage were documented. Clinical outcomes 14 were evaluated using the visual analogue scale (VAS) score, the Oswestry Disability 15 Index (ODI), and the kyphotic Cobb angle. 16 Results: During follow-up, there was no significant difference in the average 17 degree of kyphosis correction between the two groups. Compared with the 18 corresponding preoperative values, the ODI and VAS scores in both groups showed 19 significant improvement, while the complication rate was similar between groups, 20 and bony fusion was observed at the last follow-up. 21 2 Conclusion: Transpedicular lower vertebral space osteotomy was associated with 22 shorter operative time and lower blood loss than PSO, while achieving comparable 23 radiographic correction and clinical outcomes at the last available follow-up. 24 Complication rates were not significantly different between groups. Larger studies 25 with longer follow-up are warranted.
Keywords: Osteoporosis, Osteoporotic vertebral compression fracture, pedicle subtraction osteotomy, Thoracolumbar kyphosis, Transpedicular lower vertebral space osteotomy
Received: 29 Apr 2025; Accepted: 26 Jan 2026.
Copyright: © 2026 Xia, Li and Qin. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jie Qin
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.