The good distribution of lumbar lordosis is crucial for successful surgery.
This very active 78-year-old lady suffered from severe back pain no responding of conservative treatment and severely limiting her quality of live. An anterior lumbar interbody fusion (ALIF) with an extraperitoneal approach was performed with 30° lordotic cage.
The posterior transcutaneous stabilization completed the surgery. The 2 month-follow-up shows 40° of L1-S1 lordosis and 29° L4-S1 lordosis, not far from ideal parameters (52° and 34°).
This new distribution of lordosis was enough for improving the sagittal alignment of lumbar spine, minimize pain and give to the lady a good quality of live including sports activities.
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