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DTO system. A 62-year-old female patient underwent hybrid surgery combining the Dynesys stabilization system at L3-4 and TLIF with PSF at L4-5, which had spinal instability, and transitioning to the DTO system system (arrow). Preoperative anteroposterior (A) and lateral (B) radiographs and postoperative 4-year anterolateral (C) and lateral (D) radiographs are shown.
