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Adult Scoliosis #2

Patient History: 68-year-old with a known history of scoliosis. She experienced 10 out of 10 back pain when standing. She experienced associated left thigh and knee pain. She found that laying down and traction helped her scoliosis pain. X-rays compared from 2010 show a 20 degree progression of both her thoracic and lumbar curvature. Additionally, she noted that her clothes were no longer fitting and she had lost 4 inches of vertical height. Patient noted that household activities were painful and that her posture had declined.

Surgery: Patient underwent T3–pelvis scoliosis correction and fusion with 9 chevron-shaped bone cuts (Ponte osteotomies), lumbar 3-4 nerve decompression, and one interspace spacer(TLIF).

Scoliosis

Fig.1 Frontal View Xray Showing Double Major Curve Thoracic and Lumbar

 

Scoliosis

Fig.2 Frontal View Xray Showing Invert View of Double Major Curve Thoracic and Lumbar

Fig.2 Lateral View

Fig.3 Side View Xray Showing Thoracic and Lumbar Spine

Scoliosis

Fig.1 Frontal View Xray Showing Double Major Curve Thoracic and Lumbar

Fig.1 AP View Corrected

Fig.2 Frontal View Xray Showing Correction of Double Major Curve Thoracic and Lumbar

Fig.2 Lateral View

Fig.3 Side View Xray Showing Thoracic and Lumbar Spine

Fig.2 Lateral View  Corrected

Fig.4 Side View Xray Showing Correction of Thoracic and Lumbar Spine

Outcome: Patient did very well with surgery. There were no hospital complications. She is now 8 months status post her procedure. She had no complaints of pain or limitation.