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  Indian J Med Microbiol
 

Figure 14: (A) Preoperative lateral X ray of a spondyloptosis patient (Newman’s score 10+10) treated by modified Gaines procedure. (B) Postoperative lateral X-ray showing L4 directly fused to S1 after L5 vertebrectomy. Pedicle screw stabilization from L3-S1 and anterior ALIF L3-L4 and L4-S1 is seen. Also note the improved spinal alignment. (C and D) Postoperative X-rays at 18 months showing good fusion and restored spinal biomechanics[49]

Figure 14: (A) Preoperative lateral X ray of a spondyloptosis patient (Newman’s score 10+10) treated by modified Gaines procedure. (B) Postoperative lateral X-ray showing L4 directly fused to S1 after L5 vertebrectomy. Pedicle screw stabilization from L3-S1 and anterior ALIF L3-L4 and L4-S1 is seen. Also note the improved spinal alignment. (C and D) Postoperative X-rays at 18 months showing good fusion and restored spinal biomechanics<sup>[49]</sup>