Revision Spine Surgery for Previous Failed Back Surgery

Revision Spine Surgery : Spondylolisthesis Reduction and TLIF L3/4 & L4/5

This pleasant 64 yrs old lady and her family from Jharkhand contacted and visited me following her endoscopic spine surgery ( Right L4/5 PELD ) which was done in another centre in Dec 2023. She has sero positive RA & CKD ( chronic kidney disease ) .

Her symptoms of back pain, neurogenic claudication, and significant gait abnormality persisted even after her endoscopic spine surgery. Her QOL was quite reduced and had visited a few other centres prior to consulting me.

Following thorough clinical and radiological assessment ( L5 Sacralised, Spondylolisthesis, gross instability and stenosis at L3/4 and L4/5 stenosis and facet arthrosis) was noted.

I offered her Revision Spine Surgery ( Spondy reduction & decompression with TLIF at L3/4, L4/5 ) to alleviate her pain and suffering.

She was mobilised the following day with good symptom reduction after surgery and her Sagittal and Coronal profile improved significantly which brought her smile back.

Special thanks to my Spine fellow assistant Dr.Nikita Kacham, Sr. scrub nurse Vijaya, anaesthesia, medical, physio and nursing team at Yashoda Hospital Somajiguda, Hyderabad to achieve this outcome. 🇮🇳🙏.

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