Short Construct Revision

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Practicing at Halifax Health Medical Center in Daytona Beach, Florida.

Provider: Paul Krafft, MD*

Speciality: Neurosurgeon, Spine Surgeon

Facility: Halifax Health Medical Center

Bio: Fellowship: University of South Florida, Complex and Reconstructive Spine Surgery
Residency: University of South F... More

Fellowship: University of South Florida, Complex and Reconstructive Spine Surgery
Residency: University of South Florida, Neurosurgery
Medical School: Johann Wolfgang Goethe University School of Medicine, Germany

Dr. Paul Krafft is a board-certified neurosurgeon practicing at Halifax Health Medical Center in Daytona Beach, Florida. He is affiliated with the University of Florida, Department of Neurosurgery. His clinical interests include complex and revision spine surgery, spinal trauma and deformity surgery, minimally invasive spine surgery, traumatic brain injury as well as stroke. Less

Case Details

Condition: Spinopelvic Fixation

Product(s): iFuse Bedrock Granite

Patient: 53 y/o female

Short Construct Revision

Patient History:

53 y/o female; BMI: 33.5; T-Value: -0.1

Presented with:

Low back pain
Bilateral L5/S1 radiculopathy
Severe L5/S1 spondylosis and grade 1 anterolisthesis

Initial Treatment & Outcomes:

L5/S1 TLIF & pedicle screw fixation
Axial back pain radiating into bilateral buttock and groin
No SI joint pain, no obvious radiculopathy
Radiographic evidence of L5-S1 loosening & pseudarthrosis

Surgical Decision Making:

Additional fixation/stability needed – extension of construct to L4 and pelvis
Improve pedicle screw purchase:
- Fenestrated pedicle screws & cement augmentation at L4/L5
- Bicortical purchase of implants at S1 level in lieu of fenestrated pedicle screws and cement augmentation

Surgical Treatment:

Removal Instrumentation L5 – S1
Fusion/revision fusion L4 to sacrum, instrumentation L4 to pelvis
Bilateral placement of iFuse Bedrock Granite^®:
- S1 Pedicles: 9.5 x 40 mm
- S2AI: 9.5 x 80 mm

Post-op (3-month follow-up):

Pain was constant 10/10 on the VAS, and improved to intermittent 3/10 at follow-up¹

1. Multilevel deformity constructs have been performed for many years. Reported outcomes reflect entirety of the procedure and cannot be attributed to a single component. This case study represents a single patient's experience and results may vary.

Healthcare professionals should refer to the Instructions For Use for indications, contraindications, warnings, and precautions at https://si-bone.com/label.

There are potential risks associated with iFuse procedures. They may not be appropriate for all patients and all patients may not benefit.
For information about the risks, visit https://si-bone.com/risks.

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