Abstract
Symptomatic post-traumatic thoracolumbar kyphosis is a significant clinical problem that may require complex surgical procedures for reconstruction. Correction of the deformity requires either anterior lengthening or posterior shortening of the spine. Due to the extensive anterior approach classically required for anterior reconstruction, many surgeons tend to treat this pathology with posterior procedures. Pedicle subtraction osteotomies can be necessary to posteriorly achieve more than 20 degrees of correction. This procedure typically needs four-level fusion and causes significant blood loss (frequently more than 1000 ml). Minimally invasive anterior reconstruction with short-segment posterior percutaneous instrumentation can be an alternative that combines complete correction and primary stability while sparing motion segments.
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