AP and lateral X-rays, showing severe SI (sacroiliac joint) arthritis and L3-4 adjacent segment degeneration in the setting of a prior L4-S1 decompression and fusion
AP fluoroscopic images showing three screws across the right and left SI (sacroiliac) joints placed through a minimally access tubular retractor under fluoroscopic guidance with preservation of the gluteal muscles.
AP and lateral X-rays showing three screws across the right and left SI (sacroiliac ) joints and L3-4 interbody cage and plate placed through a muscle splitting corridor through the iliopsoas muscle (hip flexor), avoiding muscle stripping of the posterior lumbar musculature.
Saint Barnabas Medical Center
Formerly St. Luke’s-Roosevelt
Hospital in Manhattan
Formerly Lenox Hill Hospital