Thoracic kyphosis is not so uncommon, which presents with devastating myelopathy. In the past, the surgical treatment for it had been somewhat controversial. Traditionally, it had been addressed by open decompression and stabilization with significant dissection and disruption of normal tissues and complications. Recently, correction techniques have evolved as the standard of care. A substantial body of evidence now supports the benefits of correction but can be questioned in view of the fact that upper dorsal kyphosis is never a cosmetic concern in our part of the world. New technique has reduced complications, but it is not solely due to the technique but due to accessory gadgets like O-arm, navigation, and IONM making it safer. We describe a method of 360° decompression alone with the use of an Ultrasonic Bone Scalpel (UBS) that preserves maximum bony stability and achieves an optimum bone sculpting that negates the need for correction. This technique of ventral sculpting decompression in the thoracic spine may be more utilized in the future to be applied for more wider indications.

中文翻译：

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腹腔雕刻减压术：一种基于骨解剖刀的新型技术，可治疗胸腹狭窄/驼背并发脊髓病

胸椎后凸畸形并不罕见，其表现为毁灭性脊髓病。过去，对其进行手术治疗一直存在争议。传统上，它已通过开放性减压和稳定，明显解剖，破坏正常组织和并发症来解决。最近，矫正技术已经发展成为护理的标准。现在有大量证据支持矫正的好处，但鉴于我们的世界上上背脊柱后凸从来都不是美容问题，因此可以提出质疑。新技术减少了复杂性，但这不仅是由于该技术的缘故，还归因于附件小工具，例如O型臂，导航和IONM，使其更安全。我们描述了一种单独使用360°减压的方法，并使用超声波骨解剖刀（UBS）来保留最大的骨骼稳定性并实现最佳的骨雕刻，从而无需矫正。将来可能会更多地利用这种在胸椎中进行腹部雕刻减压的技术，以将其应用于更广泛的适应症。