A case of XXXX with lower leg paresis due to thoraco-lumbar @entity3792 .

@entity1 @entity1183 @entity17053 @entity1513 @entity170 @entity16 @entity3792 @entity1646
We treated a @entity1 of type IV @entity1646 ( @entity17053 ) with lower leg paresis due to @entity3792 . A 65-year-old @entity1 presented with @entity17053 . A lateral radiograph demonstrated the classic bullet-shaped vertebrae and a 65 degrees thoraco-lumbar @entity1513 . After the age of 60, she suffered from @entity1183 in both lower legs and walking disturbance. Bilateral patellae-tendon reflexes were exaggerated. MRI showed compression of the spinal cord around T12 to L2 with a highlighted area of change inside the spinal cord. Myelography and computed tomography after the myelography showed narrowing of the sub-arachnoidal space and deformation of the spinal cord around the T12 to L2 levels. Severe @entity170 made it necessary to first perform posterior correction of the @entity1513 and fusion. The curve was stabilised with the Luque method from T7 to L4. Her @entity16 markedly recovered, but 1 year after surgery her @entity16 again began to deteriorate, resulting in walking disturbance. For this reason, anterior decompression and fusion through a lateral thoracotomy was undertaken. Decompression of the spinal cord and a bone graft from the iliac crest were attained. The @entity1 's @entity16 again improved, but not as much as immediately after the first operation.
