Abstract: Revision lumbar spine surgeries are technically challenging with inconstant outcome results. Successful intervention requires a detailed history and physical examination and carefully chosen diagnostic tests. Preoperative planning is paramount in these cases. The decision-making process should address the timing of the surgery, surgical approach, level of inter body fusion required, correction of sagittal imbalance, type of osteotomy, location of the osteotomy, and the end of the construct.
