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Fig. 4 | Journal of Orthopaedic Surgery and Research

Fig. 4

From: Sagittal imbalance syndrome, a new concept, helps determining a long fusion for patients with degenerative lumbar spinal stenosis and severe global sagittal imbalance

Fig. 4

a A 68-year-old female patient diagnosed with DLSS and sagittal imbalance syndrome. b Paravertebral muscle from L1–2 to L4–5 were infiltrated with fat, with a mean percentage of 36.0% and a mean muscle/disk ratio of 1.41. c Twenty-five months after a short-segment lumbar decompression and fusion from L2 to S1, sagittal imbalance was not substantially modified. A complication of PJK was observed

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