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Surgical technique of combined minimally invasive anterior column realignment at L1–L2 with open extension of prior fusion by Stephen M. Bergin; Christopher F. Dibble; Ho Jin Lee; Muhammad M. Abd-El-Barr; Christopher I. Shaffrey; Khoi D. Than is a scholarly article available to read on EtoBox.

What is Surgical technique of combined minimally invasive anterior column realignment at L1–L2 with open extension of prior fusion about?

Surgical correction of fixed kyphotic deformity or severe sagittal imbalance traditionally involves three column osteotomies, which are associated with high morbidity rates. Anterior column realignment (ACR) has emerged as a minimally invasive alternative for restoring segmental lordosis. This technique involves a lateral approach and release of the anterior longitudinal ligament (ALL), followed by placement of a hyperlordotic interbody cage. In this study, we present a successful case of minimally invasive ACR for the treatment of flatback deformity and adjacent segment disease in a patient with prior L2–S1 fusion. Imaging revealed a flatback deformity, sagittal vertical axis elevation, and spinopelvic disharmony. The patient underwent a multistage procedure involving a lateral retropleural approach for ACR and interbody fusion, followed by open posterior instrumented fusion and vertebroplasties. Postoperatively, the patient experienced significant pain relief and improvement in lumbar lordosis, pelvic tilt, and pelvic incidence-lumbar lordosis mismatch. ACR combined with posterior release allows for manipulation of all three spinal columns, leading to spine reconstruction and imp

Author

Stephen M. Bergin; Christopher F. Dibble; Ho Jin Lee; Muhammad M. Abd-El-Barr; Christopher I. Shaffrey; Khoi D. Than

Publisher

AME Publishing Company

Published

2023

Language

EN