Diane is 41. Over 10 years ago, I I’d a lumbar scoliosis extension fusion down to L5.  She did great for quite a while
Over past couple years, she developed severe pain w flat back syndrome w collapse L5-S1 disc.

Today I did anterior L5S1 ALIF, jacking open bottom disc. We then turned her over, took out old hardware and did 2 posterior osteotomies ansd laminectomiers w extension instrumentation and fusion from L1 down to Iliac wing.
Iliac wing screws took extra work since she had bilateral iliac crest bone grafts taken many years ago as teenager.

Surgery went great. As shown on before-after X-rays, her lordosis was improved from 25 degrees to 68 degrees. Her posture from side view looks much better, with normal "sway" and more prominent buttock.

surgical time anterior : 50 minutes.
Posterior surgical time: 5 hrs 15 minutes. Total time: 6 hours 40 min
EBL: 1600 cc
Cell Saver 730 cc.
Blood transfused: none.
Complications: none.
BMP medium and Tisseal used at end surgery.

Tomorrow she gets to stand up straight, which is always a joy to see!!

Dr. Lloyd Hey
Hey Clinic