Proximal junctional spondylodiscitis after pedicle subtraction osteotomy

We report an unusual and unreported complication after pedicle subtraction osteotomy (PSO) for sagittal imbalance correction. A 69 y.o. female came to our attention suffering for severe low back pain and neurogenic claudication caused by an adult scoliosis with significant sagittal imbalance (Fig. 1 A, B) and L3-L4 spondylolisthesis and spinal canal stenosis (Fig. 1 C). The patient underwent a PSO of L4 followed by posterior instrumentation from T10 to ileum (Fig 2 A,B).
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Images of Spine Care Source Type: research