Today's challenge: anterior posterior reconstruction for flat back syndrome.

This 47 up woman from Ohio had Harrington rod fusion done for scoliosis as teenager.

She did well until a few years ago where she had increasing back and leg pain and trouble w walking and standing.

Her L45 and L5S1 discs have collapsed below her long fusion which actually put her lumbar spine in kyphosis.

We are starting the anterior procedure right now to do the anterior alif's first.