Surgical treatment of degenerative scoliosis usually consists of more or less extensive instrumentation and fusion and is associated with significant morbidity. Technological developments have opened the way for less invasive techniques which allow obtaining results comparable to traditional techniques, minimizing surgical trauma. In this work, we describe the case of a 63-year-old female patient who underwent posterior lumbar decompression, in January 2009, due to marked degenerative changes. A few months after surgery the patient reported increased back pain and right sciatica. Imaging studies showed exacerbation of L2-L5 degenerative scoliosis associated with L2-L3 right calcified disc extrusion, bilateral fracture of the pedicles of L3 and L5-S1 grade 1 degenerative spondylolisthesis. She underwent another surgery by minimally invasive technique with TLIF of L2-L3, L3-L4, L4-L5 and L5-S1 and bilateral L2-S1 transpedicular fixation with correction of deformity in sagittal and coronal planes. This case report illustrates the potential of minimally invasive approaches in the surgical treatment of degenerative scoliosis and should always be an option considering the benefits to the patient.
Scoliosis; Surgical procedures, minimally invasive; Case reports
