A 77-year-old patient suffered from progressive adult idiopathic scoliosis that was painful in the thoracic and lumbar spine. In addition, she had lumbar spinal stenosis giving her leg pain and limiting her walking ability.
She failed non-operative care and had worsening leg pain and back pain.
She underwent an anterior release with multiple discectomies of the lumbar spine to make the deformity more flexible and ensure a fusion.
Same day, the lumbar spine was decompressed at multiple levels with a laminectomy.
A correction of the scoliotic deformity was performed with a posterior release and instrumentation from the thoracic spine to the ileum.
The fusion was performed with local bone graft and allograft.