Multilevel XLIFs, TLIFs and Grade 2 Posterior Osteotomies for Surgical Correction of Compensated Sagittal Imbalance: Outcomes in 25 Consecutive Adult Degenerative Deformities at Minumum 2 Years Follow-up

Introduction Sagittal imbalance in the adult degenerative spine requires surgical correction to improve pain, mobility and quality of life. Aim of our surgery is to obtain a harmonic, balanced sagittal profile operating a series of adult degenerative kyphoscoliosis by means of XLIFs, TLIFs, SPOs and...

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Published in:Global spine journal 2016-04, Vol.6 (1_suppl), p.s-0036-1582891-s-0036-1582891
Main Authors: Ramieri, Alessandro, Costanzo, Giuseppe
Format: Article
Language:English
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Summary:Introduction Sagittal imbalance in the adult degenerative spine requires surgical correction to improve pain, mobility and quality of life. Aim of our surgery is to obtain a harmonic, balanced sagittal profile operating a series of adult degenerative kyphoscoliosis by means of XLIFs, TLIFs, SPOs and posterior pedicle screws. Actually, XLIF seems to be the less invasive alternative to PSO to restore LL and achieve anterior fusion, while Grade 2 posterior osteotomies can be useful to further decrease kyphosis. Material and Methods We treated by XLIFs, SPOs and pedicle instrumentations 25 thoraco-lumbar and lumbar degenerative deformities, characterized by a sagittal compensated imbalance (SVA 
ISSN:2192-5682
2192-5690
DOI:10.1055/s-0036-1582891