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.
Management of spinal degenerative deformities always represents a challenge for the spinal surgeon.
Revision surgery for degenerative spinal deformity: a case report and review of the literature / Donnarumma, Pasquale; Tarantino, Roberto; Nigro, Lorenzo; Fragale, Maria; Bassani, Roberto; Delfini, Roberto. - In: SPINAL CORD SERIES AND CASES. - ISSN 2058-6124. - 3:1(2017), p. 17085. [10.1038/s41394-017-0008-9]
Revision surgery for degenerative spinal deformity: a case report and review of the literature
Pasquale Donnarumma;Roberto Tarantino;Lorenzo Nigro;Maria Fragale;Roberto Delfini
2017
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
