Kyphosis Correction with Patient Specific Rod
Sebastien Charosky
Consultant Orthopedic Spine Surgeon chez Clinique Ramsay La Croix du Sud Quint Fonsegrives, France et Instituto Clavel, Barcelone , Espagne.
This is my first case with a Patient Specific Rod . I performed the surgery at the Instituto Clavel in Barcelona together with my colleague and friend Dr Ignasi Catala.
Female 44 y with Idiopathic Osteoporosis. Her first fracture of L3 was at the age of 20. She has had multiple osteoporotic fractures since causing this deformity. She's currently under treatment with teriparatide but her T score is still -3,5. She presented with severe imbalance and a heavy pain treatment ( morphine , tramadol , pregabalin ).
We simulated a correction with multiple SPo's and a T3 to Pelvis fusion. She had a first anterior approach with OLIF L4 L5 and ALIF L5 S1 through the same retroperitoneal approach, 3 days prior to the posterior surgery. We decided to put her back in a Roussouly Type 3 shape partially restoring the Pelvic Tilt. This is the xray at day 4 post op. Under-correction is voluntary to avoid junctional problems.Patient went home after 10 days needing only pregabalin and paracetamol.
Especialista en Ortopedia y traumatología , Fellow columna infantil hospital Garrahan, Fellow columna adulto Hospital Universitario Clinicas José de San Martín
3 年Hola como te va doc ? Esas barras que usaste como se llaman ?
Chefarzt, Klinik für Unfallchirurgie und Orthop?die , KMG S?mmerda
3 年Please correct me if I am wrong, but I see that after a operation the patient is still not enough corrected and is not balanced. C7 above S1.
Research Director at Elite Spine Health and Wellness Center
3 年Love it