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The 3 major vertebral osteotomy practices widely used today will be the posterior column osteotomy (PCO), pedicle subtraction osteotomy (PSO), and vertebral column resection (VCR). The different vertebral osteotomies have actually special merits and issues that have to be addressed during preoperative about to attain obtain the most while limiting or avoiding feasible problems. The more difficult vertebral osteotomies have a steeper understanding bend and needs considerable pre, intra and postoper