Severe Coronal and Sagittal Deformity and Imbalance

Description

This patient is an adult female who had 8 prior surgeries. She had unsuccessful Smith-Petersen osteotomies (a treatment for sagittal deformity) in the upper lumbar spine and a pedicle subtraction procedure in the lower portion of the lumbar spine by another surgeon at another institution. She has non-union at L5-S1 and fixed coronal (frontal) and sagittal (side) imbalance.
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Treatment

Dr. Bridwell treated the patient with an asymmetric L2 pedicle subtraction procedure and revision fusion and instrumentation to the sacrum and pelvis. He usedbiologic proteinsto achieve a solid fusion at L5-S1. No anterior surgery (surgery performed from the front of the body)was necessary.
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Result

She her radiographic and clinical results at 5-years post-op. Note the dramatic improvement in her deformity in both the anterior-posterio/coronal and lateral/sagittal planes.

Note on the Pre-op to Post-op Comparison questionnaire scores that for the pain, function, and mental health questions, the maximum score is 25; for the self-image question, the maximum score is 30; and for the satisfaction question, the maximum score is 10. For the SRS Scores Converted to 100-point Scale, 100 means no pathology. For the Oswestry Scores, 100 means maximum pathology; 1 means no pathology.

If you have any questions or would like someone to walk you through this case, please call Dr. Bridwell's office at (314) 747-2526 or (314) 747-2560 and ask to speak to either Bernie or Jackie and they or one of his staff will be happy to explain the case in greater detail to you. To learn more about how to understand SRS and Oswestry Scores, please click here.