Vertebral column resection for complex spinal deformity

Vertebral column resection is a powerful tool in the management of complex spinal deformity. Indications for VCR include rigid or focal, angular kyphosis or coronal deformity, hemivertebrae, and post-tuberculous spinal deformity. We review the approach to the patient with complex spinal deformity, VCR surgical technique, intraoperative considerations and outcomes reported in the literature.