Tag Archives: complex spinal deformity

Complex Spinal Deformity Surgery


Spinal column reconstruction for the management of adult spinal deformity (ASD) is technically challenging and has been associated with high complication rates,1 which may explain why few locations perform it. However, at Penn State Hershey Medical Center, specialists perform the correction using a posterior-only approach, as opposed to the more traditional anterior-posterior approach.2 Assistant Professor of Neurosurgery, John P. Kelleher, M.D. states, “This minimizes the need for next-day staging of the procedure. However, when staging is necessary, we use a minimally invasive extreme lateral approach which causes minimal blood loss and leads to rapid recovery.”

Complex Spinal Deformity Surgery

Patient unable to stand for a significant time, secondary to excruciating pain with sagittal imbalance. On the right are standing films of the same patient after multilevel surgery correction of the sagittal imbalance.

The major surgical procedure required to reshape the spine in cases of ASD typically requires an inpatient stay of between seven and ten days, followed by robust support in the weeks thereafter, making it unrealistic for many patients and their families. However, Kelleher has joined the Penn State Hershey Neurosurgery team to spearhead the spinal deformity surgery program in collaboration with colleague J. Christopher Zacko, M.D., who also uses this less invasive approach. Continue reading

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