My friend and former patient Steve from coast sent me this 59 yo woman
sp previous posterior instrumentation and fusion w plif's done
elsewhere.

She has painful paeudarthrosis w loose screws.

I fixed her anteriorly removing the plif cages and putting in alif
cages w bmp.
Posteriorly, took out unilateral hardware, and reinstrumentrd
bilaterally L4-iliac wing and did revision foraminotomies to take
pressure off nerves.

Anterior took 2.5 hrs and posterior took about 3 hours. Ebl was 1200
cc total.

Did complex a/p reconstruction yesterday as well for patient w
scoliosis and pseudarthrosis w severe adjacent level failure w spinal
cord pinch.

Our 11 yo scoliosis young lady is doing great pod number 2, he later
today or tomorrow.

Saw 2 adolescents after surgery yesterday who both had curves greater
than 80 degrees who decided not to do surgery when curve was in 40 's.
Better to fix when curve is smaller when possible, but we will still
fix both of these.

Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery