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Trans 1 surgery combined with pedicle fixation for a smoker with spondylolisthesis

Trans 1 supplementing pedicle fixation

This patient had low back and leg pain. She is a smoker. After posterior decompression and posterolateral fusion with pedicle fixation with autologous bone grafting she underwent Trans 1 approach for supplemental fixation and anterior fusion.

Preop MRI

another preop MRI

preop axial lumbar

postop lateral

postop ap