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Table 1 Overview of the timeline of the clinical history with summary of the symptoms, most relevant imaging and treatment

From: Rapidly destructive osteoarthritis of the spine: lessons learned from the first reported case

Date

Symptoms

Imaging

Treatment

June 2002

Low back pain

X-rays: early-stage degenerative scoliotic curve

Conservative Treatment

September 2003

Increased low back pain and left sciatic pain

X-rays and CT scan: marked progression of the deformity with endplate erosion

Conservative Treatment

April 2007

Increased symptoms and functional impairment

X-rays: further progression of the deformity

L1-L4 posterior fusion with L3/4 PLIF

December 2012

Back pain and sagittal imbalance

X-rays: distal junction kyphosis

T8-pelvis posterior fusion with L2 pedicle subtraction osteotomy and TLIF L4/5 and L5/S1

March 2013

Increasing axial pain and coronal and sagittal imbalance

CT scan: subsidence of both TLIF cages, T8 fracture

T7-pelvis posterior fusion

October 2019

Increasing axial pain and sagittal imbalance

X-rays: multiple rod breakages and breakage of the left iliac screw

Revision with 4-rod construct and ALIF cage L5/S1