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

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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

Abstract

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

Journal

Spinal Cord Series and CasesSpringer Journals

Published: Nov 30, 2017

References

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