Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Xlif Case Review

399 views

Published on

Xlif Case Review

Published in: Science
  • Login to see the comments

  • Be the first to like this

Xlif Case Review

  1. 1. XLIF® Case Review Zullo Nicola M.D.
  2. 2. Male, 83 years 3 year low back pain Failed conservative therapy Physical exam positive for radiculopathy (claudicatio 100 m) Severe stenosys on MRI and spondilolistesys L3L4 and L4-L5 No pain using bicycle Inability to stand supine position
  3. 3. [Case #1, Pre-op]
  4. 4. [Case #1]
  5. 5. [Case #1] L2-L3 L3-L4
  6. 6. [Case #1] Left Foraminal view Right Foraminal view
  7. 7. [Case #1] L3-L4 L2-L3 L4-L5
  8. 8. NRS Back 7 NRS Leg 7 ODI 47 Pre - operative
  9. 9. 3 Days post - operative
  10. 10. 3 Months post - operative
  11. 11. NRS Back 2 NRS Leg 4 ODI 9 3 Months post - operative
  12. 12. 6 Months post - operative
  13. 13. 6 Months post - operative NRS Back 2 NRS Leg 2 ODI 6
  14. 14. Female, 84 years 4 year low back pain Failed conservative therapy Physical exam positive for radiculopathy (claudicatio 300 m) Severe stenosys on MRI at L4-L5 2009 Vertebroplasty L1
  15. 15. Pre - operative NRS Back 9 NRS Leg 6 ODI 51
  16. 16. [Case #3, Pre-op]
  17. 17. Intra- operative
  18. 18. Intra- operative
  19. 19. 3 Days post - operative
  20. 20. 3 Months post - operative
  21. 21. NRS Back 5 NRS Leg 5 ODI 16 3 Months post - operative
  22. 22. 6 Months post - operative
  23. 23. NRS Back 5 NRS Leg 5 ODI 38 6 Months post - operative
  24. 24. Female, 76 years 5 year low back pain Failed conservative therapy Physical exam positive for radiculopathy (claudicatio 100 m) Stenosys on MRI and spondilolistesys L4- L5 Diabetes Osteoporosis
  25. 25. Pre - operative NRS Back 7 NRS Leg 8 ODI 49
  26. 26. PI 53° PT 19° LL 71°
  27. 27. 3 Days post - operative
  28. 28. 3 Months post-operative
  29. 29. 3 Months post-operative NRS Back 3 NRS Leg 3 ODI 12
  30. 30. Male, 43 10 year low back pain with some radicular left leg pain Failed conservative therapy Physical exam negative for radiculopathy No root compression on MRI No comorbidities
  31. 31. Pre - operative NRS Back 8 NRS Leg 4 ODI 34
  32. 32. 3 Days post - operative
  33. 33. 1 month post-op
  34. 34. 3 months post-op
  35. 35. 3 Months post - operative NRS Back 1 NRS Leg 1 ODI 18
  36. 36. • Male 42 YO, obesity, building industry worker • two years low back pain with right mild L5 raduclopaty • Failed conservative therapy • L4-L5 Degenerative disc disease Modic 2 Pfirrmann IV with associated spinal canal narrowing • No clear nerve root compression on MRI • Physical exam: mild right radiculopaty, sever low back pain • No significant co-morbidities
  37. 37. Pre-operative assessment NRS back 8 NRS Leg 2 ODI 32/50
  38. 38. Pre-operative imaging
  39. 39. Pre-operative imaging L4-L5 L5-S1
  40. 40. SPINO-PELVIC ASSESSMENT PT 40° PI 20° LL 12° C7 PL midpoint S1 plate
  41. 41. 1 month post-op X-ray
  42. 42. Three months CT scan
  43. 43. Three month post-op. assessment NRS Back 1 NRS Leg 0 ODI 0/50

×