Xlif Case Review
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Transcript of Xlif Case Review
![Page 1: Xlif Case Review](https://reader035.fdocuments.in/reader035/viewer/2022070323/55c48217bb61eb6e138b45cd/html5/thumbnails/1.jpg)
XLIF® Case Review
Zullo Nicola M.D.
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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
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[Case #1, Pre-op]
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[Case #1]
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[Case #1]
L2-L3
L3-L4
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[Case #1]
Left Foraminal view Right Foraminal view
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[Case #1]
L3-L4
L2-L3
L4-L5
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NRS Back 7
NRS Leg 7
ODI 47
Pre - operative
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3 Days post - operative
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3 Months post - operative
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NRS Back 2
NRS Leg 4
ODI 9
3 Months post - operative
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6 Months post - operative
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6 Months post - operative
NRS Back 2
NRS Leg 2
ODI 6
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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
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Pre - operative
NRS Back 9
NRS Leg 6
ODI 51
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[Case #3, Pre-op]
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Intra- operative
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Intra- operative
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3 Days post - operative
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3 Months post - operative
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NRS Back 5
NRS Leg 5
ODI 16
3 Months post - operative
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6 Months post - operative
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NRS Back 5
NRS Leg 5
ODI 38
6 Months post - operative
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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
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Pre - operative
NRS Back 7
NRS Leg 8
ODI 49
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PI 53°
PT 19°
LL 71°
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3 Days post - operative
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3 Months post-operative
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3 Months post-operative
NRS Back 3
NRS Leg 3
ODI 12
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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
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Pre - operative
NRS Back 8
NRS Leg 4
ODI 34
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3 Days post - operative
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1 month post-op
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3 months post-op
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3 Months post - operative
NRS Back 1
NRS Leg 1
ODI 18
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• 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
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Pre-operative assessment
NRS back 8
NRS Leg 2
ODI 32/50
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Pre-operative imaging
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Pre-operative imaging
L4-L5 L5-S1
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SPINO-PELVIC ASSESSMENT
PT 40°
PI 20°
LL 12°
C7 PL midpoint S1 plate
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1 month post-op X-ray
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Three months CT scan
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Three month post-op. assessment
NRS Back 1
NRS Leg 0
ODI 0/50