Missed Spine Problem

65/ F underwent bilateral TKR 9 months back

C/O severe low back pain radiating to both legs with difficulty standing and walking for more than 5 min post-surgery.

MRI spine showed mild L5/S1 lumbar canal stenosis.

Did stress X-rays which revealed grade 2 L5/S1 Listhesis, that explained her severe claudication symptoms.

We did L4 to S1 instrumentation and decompression. Symptoms dramatically improved post-surgery.

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