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Bilateral psoas release for long standing hip-spine syndrome: surgical technique and case report – Lumbar Fusion

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The article discusses a case of severe global spinal deformity and bilateral hip flexion contracture in a 66-year-old patient. The patient underwent a three-stage operation that included posterior spinal column osteotomies, anterior lumbar interbody fusion, and bilateral psoas releases. The postoperative alignment significantly improved, and the patient was satisfied with her new posture and the ability to stand up straight. This report is the first to demonstrate safe and substantial correction of severe spinal deformities associated with bilateral hip flexion contracture in a single hospitalization

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spine clinic on Harley Street UK

Published article

CONCLUSIONS: This report is the first to demonstrate safe and substantial correction of severe spinal deformities associated with bilateral hip flexion contracture in 1 hospitalization.

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N Am Spine Soc J. 2023 Jul 28;15:100247. doi: 10.1016/j.xnsj.2023.100247. eCollection 2023 Sep.ABSTRACTBACKGROUND: Severe positive sagittal malalignment can potentially lead to shortening and contracture of the psoas and joint capsule in a flexed spinopelvic position. The utilization of bilateral psoas release to supplement sagittal spinal deformity correction in the same hospitalization was not reported in,

N Am Spine Soc J. 2023 Jul 28;15:100247. doi: 10.1016/j.xnsj.2023.100247. eCollection 2023 Sep.

ABSTRACT

BACKGROUND: Severe positive sagittal malalignment can potentially lead to shortening and contracture of the psoas and joint capsule in a flexed spinopelvic position. The utilization of bilateral psoas release to supplement sagittal spinal deformity correction in the same hospitalization was not reported in the literature.

CASE PRESENTATION: A 66-year-old patient presented with a 5-year history of severe global spinal deformity (sagittal vertical axis 220 mm, 60° spinopelvic mismatch) that did not improve on supine radiographs, and a modified Thomas test with more than 30° flexion contracture of bilateral hips. A 3-stage operation utilizing posterior spinal column osteotomies, anterior lumbar interbody fusion, and bilateral psoas releases was performed.

OUTCOME: Her postoperative alignment significantly improved and she was pleased with her new posture and the ability to stand up straight.

CONCLUSIONS: This report is the first to demonstrate safe and substantial correction of severe spinal deformities associated with bilateral hip flexion contracture in 1 hospitalization.

PMID:37636341 | PMC:PMC10458283 | DOI:10.1016/j.xnsj.2023.100247

The London Spine Unit : most specialised spine clinic on Harley Street UK

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Bilateral psoas release for long standing hip-spine syndrome: surgical technique and case report

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N Am Spine Soc J. 2023 Jul 28;15:100247. doi: 10.1016/j.xnsj.2023.100247. eCollection 2023 Sep.ABSTRACTBACKGROUND: Severe positive sagittal malalignment can potentially lead to shortening and contracture of the psoas and joint capsule in a flexed spinopelvic position. The utilization of bilateral psoas release to supplement sagittal spinal deformity correction in the same hospitalization was not reported in

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