This was recently presented as my case of the month by NASS. Severe sagittal and coronal malalignment in a patient in their 50s.
-Prior surgery 40 years ago
-Inability to stand upright (uses cane to ambulate) for years
-Fatigue while ambulating
-Lumbar radicular pain
-Localized bilateral gluteal pain
-Inability to lie down flat
Important observations:
– Notice the compensation from the lower extremities, especially knees in the sagittal AND coronal planes.
– Disc ossification and small disc heights at the fused segments even though prior surgery was all posterior. This is commonly seen in adults who had posterior fusion at a young age
neurosurgery #physicaltherapy #chiropractor #spine #spinehealth #spinesurgery #scoliosis #scoliosissurgeon #spinedeformity #spinaldeformity #idiopathicscoliosis #degenerativescoliosis #kyphosis #flatback #spinalalignment #spondylolisthesis #roboticsurgery #harringtonrods
Sardar Spine - Top Spinal Disorders Surgeon 