Older Gentlemen With Hx Of Two Previous Spine Surgeries

Older gentlemen with HX of two previous spine surgeries.

First, a Laminectomy followed by a second, repeat laminectomy with posterior lateral fusion L3-5.

Two years pass and the patient presents with worsening back pain, was found to have pseudoarthrosis at L3-5 with bilateral L5 screw loosening.

I had the following goals for his surgery:

• Place a large interbody implant for optimal mechanical stability
• Revise the posterior instrumentation and upsize screws
• Avoid the spinal canal and previous scar tissue
• Minimize anesthesia time, blood loss and overall morbidity

In the prone position, I performed both the fusion using the lateral interbody technique and revised the pedicle screws. In this specific case we decreased the operative time by 1.5 hours, while achieving optimal stability.

Please join me at the Lumbar Spine Research Society’s (LSRS) 2020 conference on Nov 12th 6pm EST as I present #bestpaperaward ‘Feasibility and Initial Clinical Experience of Lateral Interbody Fusion (LIF) using Prone Transpsoas (PTP) Access”.

Acknowledging my co-authors Luiz Pimenta MD, PhD, William Taylor and Anthony Tomeh.

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