Degenerative Disc Disease L5‑S1Dr. med. Santiago Solsona Espin
Clinical Case – Degenerative Disc Disease
Dr. med. Santiago Solsona Espin
Orthopaedic Surgeon & Trauma Surgeon
Specialty: Spine Surgery
52-year-old female patient, suffering from lumbar pain since >5 years.
The conservative treatment in rehabilitation and pain clinic has not been successfull.
In the last 8 months problems associated with radiculopathy S1 right side.
Functional disorders and Pain that affect her daily life activities:
Pain: VAS 8
Function: ODI 28 (56%)
EMG: Radiculopathy S1 right side.
Pre OP radiographs sagittal & frontal views
MRIs (sagittal & axial) confirm severe L5-S1 degenerative discopathy with disc collapse, osteochondrosis and small right side subarticular hernia, hypertrophy and facet synovitis together with asymmetric listhesis.
It was decided to perform central and foraminal decompression + L5-S1 circumferential PL arthrodesis.
Instrumentation using the universal Neo Pedicle Screw System™.
Instrumentless compression maneuver through the use of the “Torque Limiters” with symmetrical reduction and sequential instrumentation assembly to fully control the applied forces.
Intra OP image confirming the anterior Neo Cage positioning