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

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 imba...

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Autores principales: Głowacki, Mariusz, Walecki, Jerzy, Kołakowski, Przemysław, Kolońska, Danuta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459268/
https://www.ncbi.nlm.nih.gov/pubmed/28638492
http://dx.doi.org/10.12659/PJR.899975
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author Głowacki, Mariusz
Walecki, Jerzy
Kołakowski, Przemysław
Kolońska, Danuta
author_facet Głowacki, Mariusz
Walecki, Jerzy
Kołakowski, Przemysław
Kolońska, Danuta
author_sort Głowacki, Mariusz
collection PubMed
description 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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spelling pubmed-54592682017-06-21 Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation Głowacki, Mariusz Walecki, Jerzy Kołakowski, Przemysław Kolońska, Danuta Pol J Radiol Case Report 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. International Scientific Literature, Inc. 2017-05-28 /pmc/articles/PMC5459268/ /pubmed/28638492 http://dx.doi.org/10.12659/PJR.899975 Text en © Pol J Radiol, 2017 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Case Report
Głowacki, Mariusz
Walecki, Jerzy
Kołakowski, Przemysław
Kolońska, Danuta
Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
title Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
title_full Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
title_fullStr Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
title_full_unstemmed Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
title_short Importance of Radiological Evaluation of Global Spinal Balance Together with Lower Limb Alignment in Planning Lumbar Spine Deformity Surgery – Illustrative Case Presentation
title_sort importance of radiological evaluation of global spinal balance together with lower limb alignment in planning lumbar spine deformity surgery – illustrative case presentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459268/
https://www.ncbi.nlm.nih.gov/pubmed/28638492
http://dx.doi.org/10.12659/PJR.899975
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