An 68-year old female was referred to the spine center office with chief complaints of back deformity, severe back pain, and radiating pain along both lower legs. She had severe back pain aggravated on daily activity with intermittent claudication of 20 minutes. Her radiograph showed a severe scoliotic deformity with cobb’s angle of 35 degrees. Her scoliosis deformity was the most severe in the lower lumbar, and she had a compensatory thoracic curve. She underwent a posterior reconstruction from the T10 – iliac with a 3-level posterior column osteotomy to realign her spine in the coronal plane and make balance to the right position. We also did L3-4-5-S1 posterior lumbar interbody fusion to relieve right leg pain. Postoperatively, her coronal cobb angle was improved to less than 5 degrees. The patient has maintained excellent balance and alignment with minimal discomfort.
|
An 68-year old female was referred to the spine center office with chief complaints of back deformity, severe back pain, and radiating pain along both lower legs. She had severe back pain aggravated on daily activity with intermittent claudication of 20 minutes. Her radiograph showed a severe scoliotic deformity with cobb’s angle of 35 degrees. Her scoliosis deformity was the most severe in the lower lumbar, and she had a compensatory thoracic curve. She underwent a posterior reconstruction from the T10 – iliac with a 3-level posterior column osteotomy to realign her spine in the coronal plane and make balance to the right position. We also did L3-4-5-S1 posterior lumbar interbody fusion to relieve right leg pain. Postoperatively, her coronal cobb angle was improved to less than 5 degrees. The patient has maintained excellent balance and alignment with minimal discomfort.