Posterior column osteotomy is primarily used to treat severe spinal deformities, and it may be considered for conditions such as:

During a posterior cervical osteotomy, the surgeon accesses the spine from the backside. The process involves making a small incision and inserting pedicle screws into the vertebrae of the posterior spinal column, above and below the osteotomy site. Subsequently, the surgeon proceeds with the bone removal process, which involves adjusting and/or trimming various components, such as:

Patients will typically spend several days in the hospital after a posterior column osteotomy procedure. Pain management is a key component of postoperative care. Initially, there may be restrictions on certain physical activities, including bending, twisting, or lifting heavy objects. Gradual mobility is encouraged, and patients may start with short walks as part of their early recovery. A physical therapy program will be recommended to build strength, flexibility, and overall mobility, ensuring a gradual return to normal activities.

Depending on the specifics of the osteotomy procedure, patients may be required to wear a brace to provide additional support to the spine. Regular follow-up appointments are scheduled to monitor the progress of healing. The timeline for resuming normal activities varies among individuals but generally spans several weeks to months. Full recovery may take time, and patients are encouraged to follow their surgeon’s guidance on gradually increasing activity levels.