Case Presentation 63 yo M Postural discomfort and scoliosis - - PowerPoint PPT Presentation

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Case Presentation 63 yo M Postural discomfort and scoliosis - - PowerPoint PPT Presentation

Case Presentation 63 yo M Postural discomfort and scoliosis Difficulty with ambulation > 1 block He was diagnosed with adult onset scoliosis and underwent a L3-S1 minimally invasive 360 fusion in 2014 Had subsequent


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Case Presentation

  • 63 yo M
  • Postural discomfort and scoliosis
  • Difficulty with ambulation > 1 block
  • He was diagnosed with adult onset scoliosis and

underwent a L3-S1 minimally invasive 360 fusion in 2014

  • Had subsequent difficulties secondary to nonunion and

hardware failure with a total of 3 surgeries.

  • He continues with low back discomfort and limited

function and posture secondary to his scoliosis.

  • hx of L hip fibrous dysplasia, nephrectomy-ant/lateral.

PE:

  • BMI: 26.81
  • He is stooped forward and leaning to left.
  • He has a kyphotic deformity at the thoracic spine

and thoracic lumbar junction.

  • He has scoliosis of the lumbar region.
  • Lumbar range of motion is non-painful and restricted.
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4 steps 1) Removal hardware 2) Forteo x 6 months 3) anterior revision reconstruction 4) posterior instrumentation correction and fusion