Patient presented with severe flat back syndrome and lumbar kyphosis with marked postural imbalance not allowing her to stand upright as well as severe lumbar back pain following several lumbar surgeries with decompressions and an attempted fusion.
She underwent a posterior reconstruction with an L2 pedicle subtraction osteotomy (PSO). Following surgery her posture immediately improved to an upright position with elimination of back pain.
Her 3-year postoperative radiographs and clinical photos are presented showing maintenance of her correction.