Male Approaching Retirement Age With Horrible Progressive Back Pain

What would your surgical strategy be here?

Male approaching retirement age in relatively good health who has failed numerous years of conservative management. He has been dealing with horrible progressive back pain and now uses a cane to help maintain upright walking posture. Minimal leg complaints. He is desperate to improve his pain, function and his overall quality of life.

BMI: 24
DEXA: Normal in spine

Sorry about the quality of the x-rays, I’ve placed some measurements and lines to help.

Open / MIS?

Anterior / All Posterior?

Ilium or no, T4, T10, L1?

Osteotomies / Interbodies?

CONDITIONS TREATED

TREATMENTS & PROCEDURES

MEET THE SURGEON

PATIENT SUCCESS STORIES

[Video] Neuromoitoring During LLIF: The Past, Present and Future – Talk with SDSF

Professionals delve into the intricacies of lateral spine surgery, particularly focusing on neuromonitoring during LLIF techniques aimed at preventing neurological injury during surgery. The experts share personal experiences and case studies to illustrate the challenges in enhancing patient safety and surgical outcomes.

[Video] MAS® TLIF — Using a Pedicle Screw Based Retractor

Video

MAS® TLIF — Using a Pedicle Screw Based Retractor Maximum access surgery (MAS®) transforaminal lumbar interbody fusion (TLIF) is a surgical procedure that was developed to provide spinal stability and help reduce pain in the lower back and lower extremities by using a less disruptive surgical procedure. Learn More about MAS® TLIF here: https://mdashishpatel.com/procedures/

A Retrospective Review of Single-Position Prone Lateral Lumbar Interbody Fusion Cases

Case Studies

Restoring Sagittal Spinal Alignment Plan and specifically, whether a hyperlordotic ALIF could be possible due to the bertolotti syndrome.

[Video] Dr. Ashish Patel, Considering the SI Joint

Video

Dr. Ashish Patel, Orthopaedic spine surgeon, describes why he considers the SI joint in patients who consult with him about their chronic low back, pelvic, buttock and hip pain. If non-invasive treatment is no longer an option, he recommends treatment with minimally invasive SI joint fusion using the iFuse Implant System.

https://mdashishpatel.com/wp-content/uploads/2021/01/Dr-Ashish-Patel-1000x677px.jpg

About Dr. Ashish Patel, MD

My training at the Hospital for Special Surgery in New York, a leading orthopedic hospital, created a strong desire to educate my patients regarding their neck and back condition, as I believe a well-informed patient can better participate during a joint decision-making process. I am focused on maximizing the overall patient experience and streamlining high-quality spine care for my patients.

Learn More