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: 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.
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Authors: Keith H Bridwell; Steven Glassman; William Horton; Christopher Shaffrey; Frank Schwab; Lukas P Zebala; Lawrence G Lenke; Joan F Hilton; Michael Shainline; Christine Baldus; David Wootten Journal: Spine (Phila Pa 1976) Date: 2009-09-15 Impact factor: 3.468
Authors: Justin S Smith; Christopher I Shaffrey; Christopher P Ames; Jason Demakakos; Kai-Ming G Fu; Sassan Keshavarzi; Carol M Y Li; Vedat Deviren; Frank J Schwab; Virginie Lafage; Shay Bess Journal: Neurosurgery Date: 2012-10 Impact factor: 4.654
Authors: Vedat Deviren; Jessica A Tang; Justin K Scheer; Jenni M Buckley; Murat Pekmezci; R Trigg McClellan; Christopher P Ames Journal: Global Spine J Date: 2012-12-06