KJ

● 28 y/o F with cervical and lumbar pain for years

● No significant PMH● Exam: Intact

● Midthoracic scoli apex at T6

● Thoracolumbar scoli apex at L1

KJ

● Stage 1: T1-12 screws, T4-T8 Ponte osteotomies

● Stage 2: T1-12 fusion, T5-7 interbodies, T6 bilat asymmetric PSO, correction by compression and translation

KP● 54 y/o F p/w severe back pain, completely

nonambulatory for 8 months, and wheelchair bound for 10 years

● PMH: Ankylosing spondylitis, s/p T10-12 laminectomy, LE DVT s/p IVC filter on coumadin, perforated bowel s/p ostomy, thyroid CA, breast CA, Obesity

Exam: B/L UE 5/5, RLE prox 4-/5, dist 5/5; LLE prox 2/5, dist 5/5

KP

● 1/7 CT C/L/S Spine○ Fixed sagital kyphosis○ DISH, OPLL C1-2; T12-L1

● 1/14 MRI Tspine○ myelomalacia T3-4, + cord signal change, T10 cord

tethering● 1/30 CT Tspine - postop

KP

● Stage 1: T2-5 laminectomy, release of tethered cord

● Stage 2: T1-L1 fusion, T9 vertebral column resection

● Postop Exam: RLE prox 4-/5, dist 5/5; LLE prox 2/5, dist 5/5

KP

KP

● Stages 3 & 4: Lumbar & Cervical PSO