A 80-year old female with a prior L3-4-5 fusion surgery was referred to the office with chief complaints of back deformity, severe back pain and radiating pain along the right leg. She had a progressive sagittal decompensation with an intermittent claudication of 1~2 minutes. Her radiograph showed a severe sagittal deformity with pelvic incidence of 73 degrees and lumbar lordosis of -13 degrees. On her MRI, symptomatic right foraminal stenosis at the L5-S1 level was observed. She underwent a posterior reconstruction from T10 – iliac with a L3 PSO to realign her spine in sagittal plane and make her to stand upright. We also did L5-S1 PLIF to relieve right leg pain. Postoperatively, lumbar lordosis was improved to 37 degrees. The patient has maintained excellent balance and alignment with minimal leg symptoms and good function. |
A 80-year old female with a prior L3-4-5 fusion surgery was referred to the office with chief complaints of back deformity, severe back pain and radiating pain along the right leg. She had a progressive sagittal decompensation with an intermittent claudication of 1~2 minutes. Her radiograph showed a severe sagittal deformity with pelvic incidence of 73 degrees and lumbar lordosis of -13 degrees. On her MRI, symptomatic right foraminal stenosis at the L5-S1 level was observed. She underwent a posterior reconstruction from T10 – iliac with a L3 PSO to realign her spine in sagittal plane and make her to stand upright. We also did L5-S1 PLIF to relieve right leg pain. Postoperatively, lumbar lordosis was improved to 37 degrees. The patient has maintained excellent balance and alignment with minimal leg symptoms and good function.