Yesterday we performed a complex anterior L45, L5S1 cage instrumentation and fusion followed immediately by posterior T3-Iliac wing instrumentation and fusion with multilevel posterior thoracic osteotomies, lumbar osteotomies, lumbar laminectomies, and removal of old Harrington Rods for this 54 yo woman from Florida who had severe deformity, and sever pain, on high dose morphine preoperatively.
Her surgery went very well, taking approximately 8.5 hours in total.
She was up walking today in ICU, and was extubated this morning.
The photos above show her preop and intraoperative X Rays and clinical photos, which show marked improvement in her kyphosis.
I have rotated her photo of her posture at the end of surgery so that you can see the change in her posture from preop.
She will likely head home Sat/Sun after Thanksgiving from Duke Raleigh Hospital.

Lloyd A Hey, MD MS
http://www.HeyClinic.com
Hey Clinic for Scoliosis and Spine Surgery
Raleigh, NC USA