Procedure: anterior L45, L5S1 ALIF instrumentation and fusion, then posterior Smith Peterson osteotomies w extension instrumentation and fusion down to ilium.
Surgical time: 90 minutes anterior, then 5 hour ad 10 min posterior.
Lordosis flat back correction: excellent.
EBL: 2100 cc.
Blood transfused: none.
This technique is nice alternative to pedicle subtraction osteotomy (PSO) when Harrington rod or other instrumentation fusion patients have adjacent level degeneration and failure w loss of disc height, pain, and kyphotic posture.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery
http://www.heyclinic.com
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