Dr Juan M. Valdivia, MD, FAANS, successfully corrected an adult deformity with a novel hybrid construct technique, using ROMEO®2 and ROMEO®2 MIS systems. The procedure, performed in 2 stages, involved the placement of lateral interbody devices at L1-L3.
The pedicle screw placement was performed with an open technique (midline incision) at T11- L1; at L2-L5 the screws were placed with a minimally invasive technique (percutaneous) and then fixated with a percutaneous rod. A MIS Smith Petersen-type osteotomy was performed to allow percutaneous correction of the coronal deformity, as well as a percutaneous coronal in-situ bending.
This combination of techniques allowed Dr Valdivia to complete the procedure with minimal blood loss in a patient presenting with a BMI of 48.
Dr Valdivia, after the case commented: ‘” I have chosen to perform the hybrid construct with the ROMEO®2 because ease-of-use and efficiency is the trademark of the system, even in a complex procedure. The reduction towers and the ROMEO®2 25D screws allowed me to perform a better derotation maneuver”.
Dr Valdivia is currently working at the Tampa BayCare Brain and Spine Institute, FL.