In this video from the Open Operating Theatre, Marco Brayda -Bruno, MD , from IRCCS Istituto Ortopedico Galeazzi in Milan, discussed how to perform revision surgery for implant failure in a 38-year-old woman after pedicle subtraction osteotomy.

The surgery was performed in two steps. The first step was posterior correction and implant revision. The patient was placed in prone position. Scar tissue around the broken rods was removed to expose the implant. The broken rods were reconnected with two new rods to achieve maximal stability. Sagittal correction was achieved with compression of the implant construct which was then stabilized. Bone graft was placed along the fusion and the wound was closed.