"One and a half" minimally invasive transforaminal lumbar interbody fusion: single level transforaminal lumbar interbody fusion with adjacent segment unilateral laminotomy for bilateral decompression for spondylolisthesis with bisegmental stenosis.
| Publication Type | Review |
| Authors | Wipplinger C, Melcher C, Hernandez R, Lener S, Navarro-Ramirez R, Kirnaz S, Schmidt F, Kim E, Härtl R |
| Journal | J Spine Surg |
| Volume | 4 |
| Issue | 4 |
| Pagination | 780-786 |
| Date Published | 12/01/2018 |
| ISSN | 2414-469X |
| Abstract | Symptomatic lumbar spondylolisthesis is commonly accompanied by spinal stenosis in multiple segments. These pathologies are routinely treated by multilevel decompression and instrumented fusion. However, it was hypothesized that a minimally invasive surgery (MIS) fusion in the unstable segment combined with a unilateral laminotomy for bilateral decompression (ULBD) in the adjacent stenotic segment is a biomechanically feasible alternative to a two-level fusion and superior to open laminectomy adjacent to a fused segment. This concept has demonstrated success in a recently published biomechanical cadaver study performed by our group. The present article offers a detailed step by step technical description for an MIS-TLIF (transforaminal lumbar interbody fusion) with adjacent ULBD. |
| DOI | 10.21037/jss.2018.10.01 |
| PubMed ID | 30714010 |
| PubMed Central ID | PMC6330591 |