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Title: Correction of degenerative lumbar coronal deformity using asymmetrical interbody cages: surgical technique and case report
Authors: Cheng, Gloria Hui Min
Yap, Wayne Ming Quan
Kaliya-Perumal, Arun-Kumar
Oh, Jacob Yoong-Leong
Keywords: Science::Medicine
Issue Date: 2021
Source: Cheng, G. H. M., Yap, W. M. Q., Kaliya-Perumal, A. & Oh, J. Y. (2021). Correction of degenerative lumbar coronal deformity using asymmetrical interbody cages: surgical technique and case report. Journal of Craniovertebral Junction and Spine, 12(4), 432-436.
Journal: Journal of Craniovertebral Junction and Spine 
Abstract: In adult degenerative spondylosis, much emphasis has been placed upon recognizing the sagittal plane deformity and techniques to restore this alignment. However, the coronal plane deformity has not received much attention and, if left uncorrected, may lead to poorer outcomes. Here, we present a case of degenerative lumbar scoliosis with a rigid coronal malalignment secondary to a dysplastic sacrum. We performed staged T11-pelvis lateral and posterior approach to address this deformity. For the first stage, a lateral lumbar interbody fusion was performed at the concavity of the curve from L3 to L5. For the second stage, through posterior approach, a long-segment instrumentation from T11 to pelvis was done along with bilateral asymmetrical posterior lumbar interbody fusion of L5-S1 to level the L5 vertebra at the hemi-curve, thereby leveling the coronal deformity. We propose, for cases with a rigid coronal deformity due to bony dysplasia, correction through the disc space using asymmetrical interbody cages as in this case offers the surgeon an option to achieve a desired correction, without the need for vertebral osteotomy.
ISSN: 0974-8237
DOI: 10.4103/jcvjs.jcvjs_121_21
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Rights: © 2021 Journal of Craniovertebral Junction and Spine | Published by Wolters Kluwer ‑ Medknow. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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