E-Case report :

Adult Degenerative Scoliosis
T4 – Ilium – S2 Alar-Iliac
Pawel P. Jankowski, MD

Pre OP

Clinical Case – Adult Degenerative Scoliosis
T4 – Ilium – S2 Alar-Iliac

Pawel P. Jankowski, MD
Neurosurgeon
Hoag Hospital
Newport Beach, CA
USA

Patient Information

73-year-old female patient, Adult Degenerative Scoliosis.

Mixed bone quality with very soft bone in the lower lumbar/sacrum region, and sclerotic hard bone in the thoracic spine.

Pre OP radiographs

frontal and sagittal views

Intra OP

The surgery was planned for correction and stabilization, posterior construct: S2AI – Iliac – S1 and up to T4

with the Neo Pedicle Screw System™.

A pedicle subtraction osteotomy (PSO) in the mid/lower lumbar area.

Neo Pedicle Screw System™ was used for the long construct including dual rods.

4 x Iliac screws Ø8.0 x 80mm in S2AI, Iliac

2 x Ø7.0 x 45mm in S1

A majority of pedicle screws in the thoraco-lumbar regions were Ø7.0 x 45/50mm, and Ø6.0 x 45/50mm,and a few Ø5.0 x 45/35mm screws were implanted.

2 x 500mm titanium rods, and dual rods were 160mm titanium.

Rod fit & contouring

Sublaminar band, Jazz™ Lock System band (Implanet) used in cranial level T2/3. All set screws have been placed. Thanks to the Neo convex set screw technology, self-alignment of the guide towers.

Final tightening of the set screws.

Post OP

Post OP radiographs, frontal and sagittal views

Follow Up at 1 month
Post OP

Standing radiographs at 1 month postoperatively, frontal and sagittal views

Published with the approval of Dr. Pawel P. Jankowski, MD