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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: A new lever reduction technique for the surgical treatment of elderly patients with lumbar degenerative Spondylolisthesis

Fig. 3

Female patient, 74 years old, diagnosed of lumbar degenerative spondylolisthesis and lumbar stenosis (L3/4 and L4/5). a, Forward slippage of L4; b, Pedicle screws were placed from L3 to L5; c, After decompression of both levels and cage insertion at L3/4, a lever repositioner was placed at the anterior rim of the slipped vertebrae under fluoroscopy; d, A rod was placed unilaterally and the pedicle screws of L3 and L5 were locked. After L4 was pried upward, the pedicle screw of L4 was locked and cage was then inserted; e, Postoperative X-ray showed satisfactory reduction of L4

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