The patient was a 23 year old professional footballer who was forced to quit playing because of severe right sided lower back pain. Extensive physiotherapy and Pars injections had failed to improve his pain.
Lumbar spine X-rays revealed that the patient was suffering from Grade I Isthmic Type Spondylolisthesis. After failure of nonoperative treatments the patient underwent an MIS Transforaminal Interbody Fusion (MIS TLIF). Immediately after surgery his pain has resolved.
Six months after the operation following extensive post-operative rehabilitation he returned to playing football.
- Not indicated because of the instability
- Decided to proceed with this option
- Discussed possibility to return playing after extensive post-operative rehabilitation
The patient was a 26 year-old man who experienced back pain and had serious cosmetic concerns as to a prominent curve in the back. The patient had tried various pain medication and physiotherapy but these had not helped to alleviate the pain.
The patient underwent analysis of the deformity using electronic surgical planning software. The cause of the deformity was attributed to an increased Thoracic Kyphosis (Scheuermann`s disease).
Surgery consisted of posterior spinal fusion which resulted in correction of the kyphotic deformity. The Lumbar Lordosis decreased from 83 to 52 degrees, whilst the Thoracic Kyphosis decreased from 82 to 45 degrees. Normal alignment was attained. The cosmetic result was also very satisfactory for the patient.
MRI: Sagittal View
C5-6 Axial view
Left C6 nerve impingement
C6-7 Axial view
Left C7 nerve impingement
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