We fixed her today T5-iliac wing w L5S1 TLIF, osteotomies, laminectomies.
You could really see the severe nerve pinch on the R side which I fixed by thorough "roti-rooter" and distraction of those foramen. That is where the instrumentation and fusion really helps.
Surgical time: 4 hours 35 minutes.
Correction: excellent w 19 degree curve and excellent lordosis.