Male patient with long history of paralumbar pain and bilateral lower extremity radiculopathy, ongoing for 6 to 12 months. He has undergone a combination of multiple facet blocks, radiofrequency ablation, epidural steroid injections, physical therapy and chiropractic care with no improvement of his symptoms.
An MRI of the lumbar spine reveals broad-based disc herniations at the L2-3, L3-4, L4-5 and L5-S1 levels with bilateral central foraminal stenosis. He has a significant rotator curve with reversal of lumbar lordosis as well as significant facet arthropathy bilaterally from L2 down to S1.
The patient recently underwent a minimally invasive XLIF to correct the lumbar curve and coronal deformity followed by an L1 to S1 decompression, stabilization and fusion with an L5 to S1 PLIF. We corrected the spinal deformity from 14 to 3 degrees mismatch and the patient is recovering well postoperatively.