Lateral Interbody Fusion for Hyperlordosis and Negative Sagittal Vertical Axis Because of Accordion Phenomenon: A Case Report

September 16, 2022

Case Reports

doi: 10.2106/JBJS.CC.22.00039.

eCollection 2022 Apr 1.

Affiliations

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Case Reports

Koichiro Shima et al.

JBJS Case Connect.

2022.

doi: 10.2106/JBJS.CC.22.00039.

eCollection 2022 Apr 1.

Affiliations

¹ Department of Orthopaedic Surgery, Fukui Red Cross Hospital, Fukui City, Fukui, Japan.
² Department of Orthopaedic Surgery, Kurashiki Central Hospital, Kurashiki City, Kurashiki, Japan.
³ Department of Orthopaedic Surgery, Kyoto City Hospital, Kyoto City, Kyoto, Japan.

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Abstract

Case:

The accordion phenomenon is defined as the difference in the disc space observed on x-ray or computed tomography images taken in both standing and supine positions, which results in a discrepancy of local spinal alignment. Oblique lateral interbody fusion (OLIF) is a less invasive method of potentially correcting both coronal and sagittal spinal alignment. We present the case of a 66-year-old woman with rheumatoid arthritis treated with OLIF for degenerative disc disease presenting with hyperlordosis and negative sagittal vertical axis (SVA) because of the accordion phenomenon.

Conclusion:

OLIF for severe degenerative disc disease presenting with hyperlordosis and negative SVA because of the accordion phenomenon may be effective.

Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B847).

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