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. 2007 Jun 30;1(1):19–26. doi: 10.4184/asj.2007.1.1.19

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Copyright © 2007 by Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1 — A 67-year-old woman with low back pain, radicular leg pain and claudication. (A) The preoperative radiographs demonstrated a lumbar scoliosis of 20° and lumbar lordosis of 1°. (B) She underwent posterior decompression L4 to S1, pedicle screw instrumentation and fusion to L2 to S1. The radiographs taken at 2 years after surgery showed proximal adjacent problem with junction kyphosis. (C) Extension of fusion to T10 with pedicle screw instrumentation was performed. In the radiograph taken at 2 year after reoperation, there was no proximal adjacent problem.