Background: The presented case illustrates the critical role of a detailed preoperative radiological evaluation in complex spine surgery.
Case Report: A 49-year-old patient was admitted for a revision surgery after L3-L5 fusion. Preoperative assessment showed preserved sagittal balance, coronal imbalance and valgus knee deformity. The patient reported pain of 8-10 in VAS (Visual Analogue Scale) and had an ODI (Oswestry Disability Index) of 60%. The first step of the surgery was L2-S1 fusion with decompression and spine deformity correction. The second step involved anti-valgus osteotomy of the right tibial bone.
Conclusions: The assessment of global spinal balance together with lower extremity alignment should be strongly recommended.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459268 | PMC |
| http://dx.doi.org/10.12659/PJR.899975 | DOI Listing |
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