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 |