Diagnosis and Classification of Proximal Junctional Kyphosis and Proximal Junctional Failure
Fig. 17.1 PJK without mechanical failure. (a, b) Preoperative AP and lateral radiographs demonstrating lumbar degenerative scoliosis with coronal imbalance and L4–5 spondylolisthesis. Her pelvic incidence (PI) measured 55° and…
Patient-Reported Outcomes Following the Treatment of Adult Lumbar Scoliosis
Fig. 21.1 Adult, idiopathic scoliosis in a 71-year-old woman complaining of progressive deformity, back pain, and neurogenic claudication Fig. 21.2 Iatrogenic deformity in a 52-year-old woman with flat back and…
Distal Fixation for Adult Lumbar Scoliosis: Indications and Techniques
Fig. 16.1 (a) Contouring of the L-rod. (b, c) Diagram and model demonstrating placement of the Galveston rod into the table of the ilium A major advancement in sacropelvic fixation…
Health Economic Issues Related to Adult Lumbar Scoliosis
Fig. 22.1 ODI scoring system. Note: Scoring chart was created as scoring aid to show all possible ODI scores (Mehra et al. [95]) Roland-Morris Disability Questionnaire The RMDQ consists of…
Prevention Strategies for Proximal Junctional Kyphosis
Fig. 18.1 PJK/PJF prophylaxis using rib fixation. (a, b) Preoperative AP and lateral radiographs demonstrating iatrogenic flat back deformity with global sagittal imbalance. Preoperative PI–LL mismatch measured 25° (PI =…
Minimally Invasive Techniques for Adult Lumbar Scoliosis
Indications Low-grade spondylolisthesis Degenerative disk disease causing discogenic low back pain Recurrent disk herniation with significant mechanical back pain Post-diskectomy interbody space collapse with neuroforaminal stenosis and radiculopathy Recurrent disk…
Anterior Column Support Options for Adult Lumbar Scoliosis
Fig. 14.1 Preoperative anteroposterior and lateral standing radiographs demonstrating substantial loss of lumbar lordosis and a forward leaning posture. Patient exhibits a large PI-LL mismatch Fig. 14.2 Postoperative anteroposterior and…
