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Controlled bone cuts that realign a rigid or severe spinal deformity. Used when instrumentation alone cannot correct the curve. Fellowship-trained technique. Niceville, Florida.
A spinal osteotomy is a controlled bone cut that allows a rigid or severe deformity to be realigned, used when screws and rods alone cannot move the curve.
A spinal osteotomy is a controlled bone cut that allows the spine to be realigned when a deformity is too rigid to correct with screws and rods alone. Osteotomies range from smaller cuts that gently open up a level to larger cuts that remove a wedge or an entire vertebra to achieve major correction.
Smaller osteotomies are used across several levels to gradually restore the natural curve. A pedicle subtraction osteotomy removes a wedge of bone to achieve thirty to forty degrees of correction at a single level, and a vertebral column resection removes an entire vertebra for the most severe, rigid deformity.
Osteotomies are usually part of a larger deformity correction or reconstruction. Dr. Enguidanos is fellowship trained in all osteotomy techniques under Dr. Thomas Lowe at the University of Colorado, and performs them at HCA Florida Twin Cities Hospital in Niceville, Florida.
Osteotomy is part of correcting significant, rigid deformity that limits function. Conservative care is tried first for the underlying deformity where appropriate.
When a deformity is rigid and causing disability that conservative care cannot address, an osteotomy provides the correction that instrumentation alone cannot.
The spine is exposed from behind and screws are placed above and below the level to be cut. Continuous nerve monitoring is in place throughout. The planned bone cut is made precisely, whether a smaller opening cut, a wedge removal, or a full vertebral resection.
Once the cut is complete, the spine is carefully realigned through the osteotomy and held in the corrected position with rods. The correction is checked clinically and on imaging, bone graft is applied, and the wound is closed over drains. The level fuses in its new, corrected position.
Osteotomy is usually part of a larger correction. Related procedures address the full deformity.
Realigns and fuses the spine for significant curves, often including osteotomies.
Comprehensive realignment for complex adult deformity and imbalance.
Corrects deformity or hardware problems that developed after prior surgery.
Every patient who walks through our door follows the same path. It starts with listening and ends only at surgery if nothing else works.
Dr. Enguidanos meets with you personally. He reviews your imaging, takes your full history, and listens carefully to your lifestyle, your goals, and what has and has not worked so far.
In-person with Dr. EnguidanosSurgery is never the first answer. Before any procedure is considered, every appropriate non-surgical option is explored — physical therapy, medication management, injections, and regenerative medicine.
Physical therapy, injections, regenerative medicineWhen conservative care has been exhausted and surgery is the right answer, Dr. Enguidanos applies thirty years of surgical depth. From minimally invasive procedures to complex deformity reconstruction, every level is handled.
Only when everything else has been consideredDR. STEPHEN T. ENGUIDANOS MD | SPINE SURGERY | NICEVILLE, FL
Your information is private and will never be shared.
DR. STEPHEN T. ENGUIDANOS MD | SPINE SURGERY | NICEVILLE, FL
Your information is private and will never be shared.