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. 2018 Feb 28;61(2):167–179. doi: 10.3340/jkns.2017.0404.013

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Copyright © 2018 The Korean Neurosurgical Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 4 — A 73-year-old female with back pain and poor posture. Scoliosis AP radiographs (A) and lateral radiographs (B) reveal with massive fixed kyphoscoliosis of 103° scoliosis and 115° kyphosis. Operative plan was PSSIF T9–S1–Pelvis with L1 PVCR and PLIF at L4–5 and L5–S1 with multilevel PCOs. Scoliosis AP (C) and lateral (D) at 8 weeks show correction of scoliosis to 47° and correction of kyphosis to 114°. Scoliosis AP (E) and lateral (F) at 4 years. Perfect sagittal balance was maintained. AP : anterior posterior, PSSIF : posterior spinal segmental instrumentation and fusion, PVCR : posterior vertebral column resections, PLIF : posterior lumbar interbody fusion, PCOs : posterior column osteotomies.