Revision surgery for degenerative spinal deformity: a case report and review of the literature

Revision surgery for degenerative spinal deformity: a case report and review of the literature Introduction Management of spinal degenerative deformities always represents a challenge for the spinal surgeon. Case presentation We report a case of revision surgery for adult scoliosis, focusing of most common errors in pre-surgical management and criteria for reoperation. We analyzed the spino-pelvic parameters on the standing whole-spine X-ray and the role of sagittal balance. To restore 45° of lumbar lordosis, we performed a L3 Pedicle Subtraction Osteotomy (PSO), along with L2-L3 and L3-L4 eXtreme Lateral Interbody Fusion (XLIF). Discussion In cases of adult scoliosis, careful preoperative planning is necessary in an attempt to avoid difficult, expensive, and high-risk additional procedures. Introduction plate and the line connecting the midpoint of the sacral plate to the bi-coxo-femoral axis. The PI is a morphological Management of spinal degenerative deformities always parameter, considered as a constant, independent of the represents a challenge for the spinal surgeon. A recent spatial orientation of the pelvis. Sacral slope (SS) corre- analysis from a large multicenter database shows an overall sponds to the angle between the sacral plate and the hor- 17% reoperation rate for rigid fixations [1]. The need for izontal plane. The SS is a positional parameter, varying reoperation may be minimized by carefully considering http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Spinal Cord Series and Cases Springer Journals

Revision surgery for degenerative spinal deformity: a case report and review of the literature

Loading next page...
 
/lp/springer_journal/revision-surgery-for-degenerative-spinal-deformity-a-case-report-and-gCMVFpokhN
Publisher
Nature Publishing Group UK
Copyright
Copyright © 2017 by International Spinal Cord Society
Subject
Biomedicine; Biomedicine, general; Neurosciences; Anatomy; Human Physiology; Neurochemistry; Neuropsychology
eISSN
2058-6124
D.O.I.
10.1038/s41394-017-0008-9
Publisher site
See Article on Publisher Site

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial