PMC5459268_01
Lumbar spine - lateral and AP radiographs before treatment.
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Figure 1 shows a spine radiograph before the first surgical treatment.
Lumbar spine - lateral and whole spine AP radiographs after the first surgery, before revision.
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After 2 months, the patient reported to our centre with severe lumbar pain radiating to the right lower limb (Figure 2). The sagittal balance assessment revealed PT (Pelvic Tilt) of 11, PI (Pelvic Incidence) of 40, LL (Lumbar Lordosis) of 50 (before surgery app. 47), Cobb angle of 13 with incorrect pelvis positioning (Figure 2).
(A) Lower limb radiograph before osteotomy. (B) Lower limb radiograph after osteotomy.
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Osteotomy of the right lower extremity was performed 7 months after the spine surgery (Figure 3B).
PMC5459268_02
(A) Lower limb radiograph before osteotomy. (B) Lower limb radiograph after osteotomy.
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Osteotomy of the right lower extremity was performed 7 months after the spine surgery (Figure 3B).