E-Case report :

Degenerative Disc Disease L4‑S1Dr. med. Michael Kuhr
Dr. med. Stefan Kirschbaum

Pre OP

Clinical Case – Degenerative Disc Disease

Dr. med. Michael Kuhr
Dr. med. Stefan Kirschbaum

Praxis für Neurochirurgie / Orthopädische Praxis für Gelenkchirurgie, Unfallchirurgie und Sportmedizin

Rotenburg an der Fulda,
Germany

28 year old female patient. Degenerative disc disease in the lower lumbar area.
Instability, abrasion and pain from the facet joints L4/L5 left side, and L5/S1 right side.
Slipped discs at both levels.

Pre OP MRIs sagittal, frontal and axial views

Intra OP

Combined MIS and mini-open TLIF surgery.

Wiltse approach.

Approach Wiltse for TLIF Neo Curved Cages implantation:

Neo Curved Cages: 36/12 mm, Lordosis 5° in level L4/L5, and 36/9 mm, lordosis 5° in level L5/S1.

Intra OP Radiographs, sagittal and frontal views

K-wire placement; with one incision covering all 3 vertebral levels

Placing the Neo Pedicle Screw System

4 x Ø6.0 x 40mm

2 x Ø6.0 x 35mm

Rod measuring and placement of Neo Pre-bent rods.

Pre-bent 60mm rod placed at the right side, and a pre-bent 70mm rod at the left side.

Final tightening of the posterior instrumentation

Post OP

Post OP Radiographs, sagittal and frontal views

8 months Follow Up Radiographs, sagittal and frontal views

Published with the approval of
Dr. med. Michael Kuhr
Dr. med. Stefan Kirschbaum