Mohammad Inam - Academia.edu (original) (raw)
Papers by Mohammad Inam
JPMA. The Journal of the Pakistan Medical Association, 2014
OBJECTIVE To determine the surgical outcome of patients with axial cervical spine fractures. METH... more OBJECTIVE To determine the surgical outcome of patients with axial cervical spine fractures. METHODS The study was conducted at the Spine Unit of Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to March 2013. Patients with sub-axial cervical spine fractures were treated surgically. The outcome was measured using Visual Analogue Score, Neck Disability Index, by neurology and on the basis of complications. SPSS 16 was used for statistical analysis. RESULTS Of the 50 patients in the study, 7(14%) were females, while 43(86%) were male. Overall mean age was 30.3±7.9 years (range: 18-60 years). Major cause of injury was road traffic accidents in 29(58%). A total of 29(58%) patients had dislocation of the spine which was successfully reduced in 22(75.9%). Mean postoperative visual analogue score was 2.9±1.5 (range: 1-7) at last follow-up. Mean neck disability index score was 10.9±5.2 (range: 4-26). Dysphagia was the most common complication in 12(24%). C...
from 2002 to 2005, on 35 patients treated by Wagner method for their limb-length discrepancy. The... more from 2002 to 2005, on 35 patients treated by Wagner method for their limb-length discrepancy. The limb-length discrepancy and bony alignment was measured and ascertained both clinically and radiologically. Unilateral external fixator assembly was fixed on the affected limb, percutaneous corticotomy was carried out and distraction was started one millimeter per day after one week. Distraction gap was assessed and measured with periodic radiological examination. Out of 35 patients, 25 were male and 10 were females. Their ages ranged from 18 years to 50 years with a mean of 29.3 years. In 17 (48.6%) patients tibial lengthening, in 14 (40%) patients femoral lengthening and 4 (11.4%) patients both tibial and femoral lengthening was done. A total of 207 complications occurred in 39 segments. Out of which 128 were minor and 79 were major complications. We were able to achieve excellent or good grade in 89% of bony results and 97% of functional results, as per criteria of the association for the study and application of the Wagner method. The outcome of Wagner method for limb lengthening is excellent in over 80% of cases both in terms of bony and functional results.
JPMA. The Journal of the Pakistan Medical Association, 2014
OBJECTIVE To find the frequency of deformity correction, functional outcome and complications of ... more OBJECTIVE To find the frequency of deformity correction, functional outcome and complications of single-stage vertebral column resection in patients with kyphotic deformity. METHODS The prospective case series was conducted at Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to December 2013, and comprised all patients who underwent single-stage posterior vertebral column resection. Only patients with severe rigid sharp deformity of different aetiology that required more than 40 degree correction and who had at least 3-month follow-up were included. Data was processed using SPSS 16. RESULTS Of the total 18 patients, 11(61.1%) were male and 7(38.9%) were female, with an overall mean age of 28.7±13.6 years (range: 12-60 years). Among them, 8(44.4%) patients had congenital kyphosis, 5(27.8%) had posttraumatic origin, 4(22.2%) had post-tuberculous deformity, while 1(5.6%) had iatrogenic kyphosis. The apex of the deformity was in thoracic spine in 12(66...
Journal of the Pakistan Medical Association
Objective: To determine the surgical outcome of patients with axial cervical spine fractures. Met... more Objective: To determine the surgical outcome of patients with axial cervical spine fractures. Methods: The study was conducted at the Spine Unit of Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to March 2013. Patients with sub-axial cervical spine fractures were treated surgically. The outcome was measured using Visual Analogue Score, Neck Disability Index, by neurology and on the basis of complications. SPSS 16 was used for statistical analysis. Results: Of the 50 patients in the study, 7(14%) were females, while 43(86%) were male. Overall mean age was 30.3±7.9 years (range: 18-60 years). Major cause of injury was road traffic accidents in 29(58%). A total of 29(58%) patients had dislocation of the spine which was successfully reduced in 22(75.9%). Mean postoperative visual analogue score was 2.9±1.5 (range: 1-7) at last follow-up. Mean neck disability index score was 10.9±5.2 (range: 4-26). Dysphagia was the most common complication in 12(24%). Conclusion: Majority of the sub-axial fractures can be treated effectively with good outcome through anterior approach. Gradual axial skull traction is an easy and safe method for reduction of cervical fracture dislocations.
JPMA. The Journal of the Pakistan Medical Association, 2014
To evaluate the outcome of local corticocancellous bone chips used for fusion in various kinds of... more To evaluate the outcome of local corticocancellous bone chips used for fusion in various kinds of spine surgeries. The observational prospective study was conducted at the Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from April 2011 to April 2013, and comprised cases in which locally harvested bone chips removed during decompression were used as bone graft for arthodesis. All cases were successfully followed up for at least one year. SPSS 16 was used for statistical analysis. Of the80 patients in the study, 44(55%) were female and 36(45%) were male. The overall mean age was 39.5±12.7 years (range: 13-75 years). Besides, 34(42.5%) were operated for spine surgery, 22(27.5%) for spondylolisthesis, 12(15.0%) for disc degeneration and 12 (15%) for spinal stenosis. In 54(67.5%) patients posterio-lateral fusion with decompression was done, while in 26(32.5%) transforaminal lumbar interbody fusion was done. Oswestry Disability Index scoreat last follow-up ranged from 4 ...
Gomal journal of Medical Sciences, 2004
Background: Talipes equino-varus is the most common congenital orthopaedic anomaly. There are var... more Background: Talipes equino-varus is the most common congenital orthopaedic anomaly. There are various methods for its management. This study was conducted to determine the efficacy of Turco's one stage postero-medial release in children with congenital talipes equinovarus. Material and Methods: This observational study was conducted from January 2004 to December 2005 in Orthopaedic Unit, Hayatabad Medical Complex Peshawar, Pakistan. Forty patients of less than 3 years age, with moderate to severe deformity were treated by Turco's one stage postero-medial release. They were followed for one year. The results were drawn according to the modified McKay rating system. Results: Out of forty patients, 21 (52.5%) were males and 19 (47.5%) females. Twelve (30%) patients had bilateral while 28 (70%) unilateral deformity. Five (12.5%) of these patients had family history of clubfoot. Post-operatively after one year only 30 (75%) patients were available for evaluation. On McKay rating ...
Journal of Postgraduate Medical Institute, 2011
Objective: Material and Methods: Results: Conclusion: Distraction osteogenesis can be achieved wi... more Objective: Material and Methods: Results: Conclusion: Distraction osteogenesis can be achieved with locally made Naseer Awais fixator in non union of tibia with segmental bone loss. Out of 32 patients 29 were male and 3 were female. Eighteen patients had road traffic accidents, 10 fire arm injuries and 4 bomb blast injuries. Average length of bone transport was 7cm. Average duration of fixator was 8 months and average follow up was 25 months. Eight(25%) patients had some additional procedure in form of fibular osteotomy, fasciocutaneous flap and bone grafting. Twentyeight( 87.5%) patients had pin tract infection. Repositioning of pins was done in 18(56.25%) patients. External fixator was changed in 10(31.25%) patients. Four patients developed mal-alignment which required fixator resetting. Four(12.5%) patients had re-osteotomy. Five(15.62%) patients developed persistent equinus deformity Nine(28.12%) patients had to modify their profession. This descriptive study was carried out at ...
To evaluate the level of patients' satisfaction with knee arthroscopy under local anaesthesia. Th... more To evaluate the level of patients' satisfaction with knee arthroscopy under local anaesthesia. This descriptive study was conducted in a private hospital setup from 2004 to 2008 on 30 consecutive patients who had knee arthroscopy under local anaesthesia. Bupivacaine (150 milligrams) was injected into the knee joint and lignocaine with adrenalin injected into skin portals. Intravenous sedation was also given to some anxious patients during the procedure. At first follow up visit we evaluated level of satisfaction in quarters 25, 50, 75 and 100% by parameters pain, anxiety, theater environment, recommendation of the same procedure to friends and overall experience about procedure. Three (10%) patients were 100 % satisfied, 20 (66.7%) patients were 75% satisfied, 5 (16.7%) patients were 50% satisfied and 2 (6.6%) patients were 25% satisfied. The overall satisfaction rate was 70%. Ten (33.3%) patients reported no pain, 19 (63.4%) reported mild pain and 1(3.3%) reported moderate degree of pain. Twenty four (80%) patients were anxious during the procedure. Twenty seven (90%) patients reported that the theater environment was not friendly. Twenty one (70%) patients recommended the same procedure to friends. The experience about the procedure was excellent in five (16.7%) patients, good in 24 (80%) and fair in 1 (3.3%) patient. When patients are properly counseled and their anxiety alleviated; knee arthroscopy under local anaesthesia is well tolerated procedure.
Background: There are different ways of management of spinal injuries including operative and non... more Background: There are different ways of management of spinal injuries including operative and non-operative. Operative management is indicated to minimize pain, stabilize spine, correcting and preventing subsequent spinal deformity, early mobilization, reduction of morbidity and improvement in neurological function. This study was conducted to determine the effectiveness of posterior spinal fixation of thoracolumbar spine. Material & Methods: Seventy six patients with thoracolumbar spine fracture were managed surgically in Orthopedic Department of Hayatabad Medical Complex Peshawar from December 2003 to November 2007 by posterior spinal fixation with pedicular screws and rods. Results: Out of seventy-six patients 36 had road traffic accident, 28 had a fall from a height and 12 were hit by a heavy falling object. Preoperative kyphosis was 27°averaged and postoperative was 7° averaged. The sagittal index was 26° averaged and postoperative was 12° averaged. More than half of the patien...
INTRODUCTION Medical sciences grow day by day. In the last two decades, a number of new anestheti... more INTRODUCTION Medical sciences grow day by day. In the last two decades, a number of new anesthetics have been developed. Due to these developments, the range of techniques and surgical procedures which can be performed on an ambulatory or day-care basis has ...
JPMA. The Journal of the Pakistan Medical Association, 2014
To determine the surgical outcome of patients with axial cervical spine fractures. The study was ... more To determine the surgical outcome of patients with axial cervical spine fractures. The study was conducted at the Spine Unit of Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to March 2013. Patients with sub-axial cervical spine fractures were treated surgically. The outcome was measured using Visual Analogue Score, Neck Disability Index, by neurology and on the basis of complications. SPSS 16 was used for statistical analysis. Of the 50 patients in the study, 7(14%) were females, while 43(86%) were male. Overall mean age was 30.3±7.9 years (range: 18-60 years). Major cause of injury was road traffic accidents in 29(58%). A total of 29(58%) patients had dislocation of the spine which was successfully reduced in 22(75.9%). Mean postoperative visual analogue score was 2.9±1.5 (range: 1-7) at last follow-up. Mean neck disability index score was 10.9±5.2 (range: 4-26). Dysphagia was the most common complication in 12(24%). Majority of the sub-axial f...
Journal of the Pakistan Medical Association
Objective: To find the frequency of deformity correction, functional outcome and complications of... more Objective: To find the frequency of deformity correction, functional outcome and complications of single-stage vertebral column resection in patients with kyphotic deformity. Methods: The prospective case series was conducted at Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to December 2013, and comprised all patients who underwent single-stage posterior vertebral column resection. Only patients with severe rigid sharp deformity of different aetiology that required more than 40 degree correction and who had at least 3-month follow-up were included. Data was processed using SPSS 16. Results: Of the total 18 patients, 11(61.1%) were male and 7(38.9%) were female, with an overall mean age of 28.7±13.6 years (range: 12-60 years). Among them, 8(44.4%) patients had congenital kyphosis, 5(27.8%) had posttraumatic origin, 4(22.2%) had post-tuberculous deformity, while 1(5.6%) had iatrogenic kyphosis. The apex of the deformity was in thoracic spine in 12(66.7%) patients, while in 6(33.3%) patients it was in the lumbar spine. The average pre-and post-operative Cobb's angle was 66.2±18.9 degrees and 18.8±12.8 degrees respectively. Mean correction of deformities was 47.3±13.3 degrees. The mean correction achieved in percentage terms was 73.5±8.6 per cent (range: 56-87%). There were no patients with post-operative deterioration of neurological status. Two (11%) patients underwent re-exploration of the wounds with wash and cultures due to wound discharge. Conclusion: Posterior vertebral column resection was found to be a very effective method of correction of severe kyphotic deformities in expert hands with acceptable morbidity.
JPMA. The Journal of the Pakistan Medical Association, 2014
OBJECTIVE To determine the surgical outcome of patients with axial cervical spine fractures. METH... more OBJECTIVE To determine the surgical outcome of patients with axial cervical spine fractures. METHODS The study was conducted at the Spine Unit of Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to March 2013. Patients with sub-axial cervical spine fractures were treated surgically. The outcome was measured using Visual Analogue Score, Neck Disability Index, by neurology and on the basis of complications. SPSS 16 was used for statistical analysis. RESULTS Of the 50 patients in the study, 7(14%) were females, while 43(86%) were male. Overall mean age was 30.3±7.9 years (range: 18-60 years). Major cause of injury was road traffic accidents in 29(58%). A total of 29(58%) patients had dislocation of the spine which was successfully reduced in 22(75.9%). Mean postoperative visual analogue score was 2.9±1.5 (range: 1-7) at last follow-up. Mean neck disability index score was 10.9±5.2 (range: 4-26). Dysphagia was the most common complication in 12(24%). C...
from 2002 to 2005, on 35 patients treated by Wagner method for their limb-length discrepancy. The... more from 2002 to 2005, on 35 patients treated by Wagner method for their limb-length discrepancy. The limb-length discrepancy and bony alignment was measured and ascertained both clinically and radiologically. Unilateral external fixator assembly was fixed on the affected limb, percutaneous corticotomy was carried out and distraction was started one millimeter per day after one week. Distraction gap was assessed and measured with periodic radiological examination. Out of 35 patients, 25 were male and 10 were females. Their ages ranged from 18 years to 50 years with a mean of 29.3 years. In 17 (48.6%) patients tibial lengthening, in 14 (40%) patients femoral lengthening and 4 (11.4%) patients both tibial and femoral lengthening was done. A total of 207 complications occurred in 39 segments. Out of which 128 were minor and 79 were major complications. We were able to achieve excellent or good grade in 89% of bony results and 97% of functional results, as per criteria of the association for the study and application of the Wagner method. The outcome of Wagner method for limb lengthening is excellent in over 80% of cases both in terms of bony and functional results.
JPMA. The Journal of the Pakistan Medical Association, 2014
OBJECTIVE To find the frequency of deformity correction, functional outcome and complications of ... more OBJECTIVE To find the frequency of deformity correction, functional outcome and complications of single-stage vertebral column resection in patients with kyphotic deformity. METHODS The prospective case series was conducted at Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to December 2013, and comprised all patients who underwent single-stage posterior vertebral column resection. Only patients with severe rigid sharp deformity of different aetiology that required more than 40 degree correction and who had at least 3-month follow-up were included. Data was processed using SPSS 16. RESULTS Of the total 18 patients, 11(61.1%) were male and 7(38.9%) were female, with an overall mean age of 28.7±13.6 years (range: 12-60 years). Among them, 8(44.4%) patients had congenital kyphosis, 5(27.8%) had posttraumatic origin, 4(22.2%) had post-tuberculous deformity, while 1(5.6%) had iatrogenic kyphosis. The apex of the deformity was in thoracic spine in 12(66...
Journal of the Pakistan Medical Association
Objective: To determine the surgical outcome of patients with axial cervical spine fractures. Met... more Objective: To determine the surgical outcome of patients with axial cervical spine fractures. Methods: The study was conducted at the Spine Unit of Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to March 2013. Patients with sub-axial cervical spine fractures were treated surgically. The outcome was measured using Visual Analogue Score, Neck Disability Index, by neurology and on the basis of complications. SPSS 16 was used for statistical analysis. Results: Of the 50 patients in the study, 7(14%) were females, while 43(86%) were male. Overall mean age was 30.3±7.9 years (range: 18-60 years). Major cause of injury was road traffic accidents in 29(58%). A total of 29(58%) patients had dislocation of the spine which was successfully reduced in 22(75.9%). Mean postoperative visual analogue score was 2.9±1.5 (range: 1-7) at last follow-up. Mean neck disability index score was 10.9±5.2 (range: 4-26). Dysphagia was the most common complication in 12(24%). Conclusion: Majority of the sub-axial fractures can be treated effectively with good outcome through anterior approach. Gradual axial skull traction is an easy and safe method for reduction of cervical fracture dislocations.
JPMA. The Journal of the Pakistan Medical Association, 2014
To evaluate the outcome of local corticocancellous bone chips used for fusion in various kinds of... more To evaluate the outcome of local corticocancellous bone chips used for fusion in various kinds of spine surgeries. The observational prospective study was conducted at the Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from April 2011 to April 2013, and comprised cases in which locally harvested bone chips removed during decompression were used as bone graft for arthodesis. All cases were successfully followed up for at least one year. SPSS 16 was used for statistical analysis. Of the80 patients in the study, 44(55%) were female and 36(45%) were male. The overall mean age was 39.5±12.7 years (range: 13-75 years). Besides, 34(42.5%) were operated for spine surgery, 22(27.5%) for spondylolisthesis, 12(15.0%) for disc degeneration and 12 (15%) for spinal stenosis. In 54(67.5%) patients posterio-lateral fusion with decompression was done, while in 26(32.5%) transforaminal lumbar interbody fusion was done. Oswestry Disability Index scoreat last follow-up ranged from 4 ...
Gomal journal of Medical Sciences, 2004
Background: Talipes equino-varus is the most common congenital orthopaedic anomaly. There are var... more Background: Talipes equino-varus is the most common congenital orthopaedic anomaly. There are various methods for its management. This study was conducted to determine the efficacy of Turco's one stage postero-medial release in children with congenital talipes equinovarus. Material and Methods: This observational study was conducted from January 2004 to December 2005 in Orthopaedic Unit, Hayatabad Medical Complex Peshawar, Pakistan. Forty patients of less than 3 years age, with moderate to severe deformity were treated by Turco's one stage postero-medial release. They were followed for one year. The results were drawn according to the modified McKay rating system. Results: Out of forty patients, 21 (52.5%) were males and 19 (47.5%) females. Twelve (30%) patients had bilateral while 28 (70%) unilateral deformity. Five (12.5%) of these patients had family history of clubfoot. Post-operatively after one year only 30 (75%) patients were available for evaluation. On McKay rating ...
Journal of Postgraduate Medical Institute, 2011
Objective: Material and Methods: Results: Conclusion: Distraction osteogenesis can be achieved wi... more Objective: Material and Methods: Results: Conclusion: Distraction osteogenesis can be achieved with locally made Naseer Awais fixator in non union of tibia with segmental bone loss. Out of 32 patients 29 were male and 3 were female. Eighteen patients had road traffic accidents, 10 fire arm injuries and 4 bomb blast injuries. Average length of bone transport was 7cm. Average duration of fixator was 8 months and average follow up was 25 months. Eight(25%) patients had some additional procedure in form of fibular osteotomy, fasciocutaneous flap and bone grafting. Twentyeight( 87.5%) patients had pin tract infection. Repositioning of pins was done in 18(56.25%) patients. External fixator was changed in 10(31.25%) patients. Four patients developed mal-alignment which required fixator resetting. Four(12.5%) patients had re-osteotomy. Five(15.62%) patients developed persistent equinus deformity Nine(28.12%) patients had to modify their profession. This descriptive study was carried out at ...
To evaluate the level of patients' satisfaction with knee arthroscopy under local anaesthesia. Th... more To evaluate the level of patients' satisfaction with knee arthroscopy under local anaesthesia. This descriptive study was conducted in a private hospital setup from 2004 to 2008 on 30 consecutive patients who had knee arthroscopy under local anaesthesia. Bupivacaine (150 milligrams) was injected into the knee joint and lignocaine with adrenalin injected into skin portals. Intravenous sedation was also given to some anxious patients during the procedure. At first follow up visit we evaluated level of satisfaction in quarters 25, 50, 75 and 100% by parameters pain, anxiety, theater environment, recommendation of the same procedure to friends and overall experience about procedure. Three (10%) patients were 100 % satisfied, 20 (66.7%) patients were 75% satisfied, 5 (16.7%) patients were 50% satisfied and 2 (6.6%) patients were 25% satisfied. The overall satisfaction rate was 70%. Ten (33.3%) patients reported no pain, 19 (63.4%) reported mild pain and 1(3.3%) reported moderate degree of pain. Twenty four (80%) patients were anxious during the procedure. Twenty seven (90%) patients reported that the theater environment was not friendly. Twenty one (70%) patients recommended the same procedure to friends. The experience about the procedure was excellent in five (16.7%) patients, good in 24 (80%) and fair in 1 (3.3%) patient. When patients are properly counseled and their anxiety alleviated; knee arthroscopy under local anaesthesia is well tolerated procedure.
Background: There are different ways of management of spinal injuries including operative and non... more Background: There are different ways of management of spinal injuries including operative and non-operative. Operative management is indicated to minimize pain, stabilize spine, correcting and preventing subsequent spinal deformity, early mobilization, reduction of morbidity and improvement in neurological function. This study was conducted to determine the effectiveness of posterior spinal fixation of thoracolumbar spine. Material & Methods: Seventy six patients with thoracolumbar spine fracture were managed surgically in Orthopedic Department of Hayatabad Medical Complex Peshawar from December 2003 to November 2007 by posterior spinal fixation with pedicular screws and rods. Results: Out of seventy-six patients 36 had road traffic accident, 28 had a fall from a height and 12 were hit by a heavy falling object. Preoperative kyphosis was 27°averaged and postoperative was 7° averaged. The sagittal index was 26° averaged and postoperative was 12° averaged. More than half of the patien...
INTRODUCTION Medical sciences grow day by day. In the last two decades, a number of new anestheti... more INTRODUCTION Medical sciences grow day by day. In the last two decades, a number of new anesthetics have been developed. Due to these developments, the range of techniques and surgical procedures which can be performed on an ambulatory or day-care basis has ...
JPMA. The Journal of the Pakistan Medical Association, 2014
To determine the surgical outcome of patients with axial cervical spine fractures. The study was ... more To determine the surgical outcome of patients with axial cervical spine fractures. The study was conducted at the Spine Unit of Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to March 2013. Patients with sub-axial cervical spine fractures were treated surgically. The outcome was measured using Visual Analogue Score, Neck Disability Index, by neurology and on the basis of complications. SPSS 16 was used for statistical analysis. Of the 50 patients in the study, 7(14%) were females, while 43(86%) were male. Overall mean age was 30.3±7.9 years (range: 18-60 years). Major cause of injury was road traffic accidents in 29(58%). A total of 29(58%) patients had dislocation of the spine which was successfully reduced in 22(75.9%). Mean postoperative visual analogue score was 2.9±1.5 (range: 1-7) at last follow-up. Mean neck disability index score was 10.9±5.2 (range: 4-26). Dysphagia was the most common complication in 12(24%). Majority of the sub-axial f...
Journal of the Pakistan Medical Association
Objective: To find the frequency of deformity correction, functional outcome and complications of... more Objective: To find the frequency of deformity correction, functional outcome and complications of single-stage vertebral column resection in patients with kyphotic deformity. Methods: The prospective case series was conducted at Hayatabad Medical Complex, Peshawar, and Aman Hospital, Peshawar, from January 2012 to December 2013, and comprised all patients who underwent single-stage posterior vertebral column resection. Only patients with severe rigid sharp deformity of different aetiology that required more than 40 degree correction and who had at least 3-month follow-up were included. Data was processed using SPSS 16. Results: Of the total 18 patients, 11(61.1%) were male and 7(38.9%) were female, with an overall mean age of 28.7±13.6 years (range: 12-60 years). Among them, 8(44.4%) patients had congenital kyphosis, 5(27.8%) had posttraumatic origin, 4(22.2%) had post-tuberculous deformity, while 1(5.6%) had iatrogenic kyphosis. The apex of the deformity was in thoracic spine in 12(66.7%) patients, while in 6(33.3%) patients it was in the lumbar spine. The average pre-and post-operative Cobb's angle was 66.2±18.9 degrees and 18.8±12.8 degrees respectively. Mean correction of deformities was 47.3±13.3 degrees. The mean correction achieved in percentage terms was 73.5±8.6 per cent (range: 56-87%). There were no patients with post-operative deterioration of neurological status. Two (11%) patients underwent re-exploration of the wounds with wash and cultures due to wound discharge. Conclusion: Posterior vertebral column resection was found to be a very effective method of correction of severe kyphotic deformities in expert hands with acceptable morbidity.