Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
نویسندگان
چکیده
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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