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Revision Surgery After Failed AxiaLif

Patient History: 31-year-old woman with substantial back and bilateral thigh pain. Another surgeon performed an AxiaLif and posterior screws. She had persistent back pain. She developed new thigh pain. Imaging below shows a substantial herniation at the level above the AxiaLif. She failed conservative measures to improve.

Surgery: Patient underwent a revision L3 - pelvis fusion and re-instrumentation with interspace spacer(TLIF) at lumbar 3–4 and ventral discectomy/decompression of L3-4.

Fig.1 AP View Lumbar Spine

Fig.1 Frontal View Xray Showing Lumbar Spine

Fig.2 Lateral View Lumbar Spine

Fig.2 Side View Xray Showing Lumbar Spine

Fig.3 Sagittal View CT Lumbar Spine

Fig.3 Side View Showing (Sagittal Plane) of CT Scan Lumbar Spine 

Fig.4 Coronal View CT Lumbar 4 Vertebra

Fig.4 Transverse View Showing (Axial Plane) of CT Scan Lumbar 4 Vertebra

Fig.1 AP View Lumbar Spine

Fig.1 Frontal View Xray Showing Lumbar Spine

Fig.1 AP View Corrected

Fig.2 Frontal View Xray Showing Corrected Lumbar Spine

Fig.2 Lateral View Lumbar Spine

Fig.3 Side View Xray Showing Lumbar Spine

Fig.2 Lateral View Corrected

Fig.4 Side View Xray Showing Corrected Lumbar Spine

Outcome: The patient experienced approximately 80% relief of her back pain. There were no hospital complications. She was discharged after 3-4 days in the hospital.