Osteotomy Surgery for Severe Scoliosis / Kyphosis
For the most complicated spinal deformities such as severe scoliosis, kyphosis, and previously operated spines, sometimes osteotomy surgery is the only way to balance the spine. Dr. Geck has extensive experience with pediatric and adult osteotomy surgery. This includes congenital hemivertebrae resection, pedicle subtraction osteotomy, posterior vertebral column resection, as well as cervico-thoracic osteotomy. Dr. Geck has one of the largest spinal deformity practices in the southwestern United States, serving the Austin, Houston, San Antonio, Waco and surrounding communities.
Case Studies
Pedicle Subtraction Osteotomy for Post Laminectomy Flatback and Kyphosis
This 65 year old woman had multiple previous operations and was partially wheelchair bound with postlaminectomy dislocation of L2 on L3 and flatback syndrome.
After workup and medical clearance she had a L3 PSO with T10 to the pelvis intrumentation. She left the hospital in 5 days, and is now over one year out. She can stand straight, walk over a mile, garden, and has almost no limitations in her activities of daily living.
Posterior Vertebral Column Resection for Post Infection Kyphosis, Paralysis
This 5 year old boy with previous spine infection had developed a 90 degree thoracic kyphosis, spinal cord impingement, and early paralysis. The CT scan shows the sharp kyphosis and anterior compression of the spinal cord. Vertebral column resection and kyphosis correction was performed. Now he is 5 years out, neurologically normal, and playing soccer.
