Figure 1

(Adapted from Liang Y, et al. Vertebral column resection (VCR) at the subapical vertebra for correction of angular kyphosis associated with neurofibromatosis type 1 (NF1): a case report. Eur Spine J. 2022).
Schematic of the procedure. Panel (a) depicts the presence of severe sharp angular kyphosis. In panel (b), the vertebral segment immediately subapical to the distal apex is identified for intervention. Panel (c) illustrates the execution of vertebral column resection (VCR) on the chosen vertebra. Subsequently, panel (d) demonstrates the incremental retraction and elevation of the osteotomized vertebral ends. Finally, panel (e) presents the resultant correction of the overarching compensatory curve and the resolution of kyphosis.