Minimally Invasive Approaches for Surgical Treatment of Lumbar Spondylolisthesis.

Publication Type	Review
Authors	Hussain I, Kirnaz S, Wibawa G, Wipplinger C, Härtl R
Journal	Neurosurg Clin N Am
Volume	30
Issue	3
Pagination	305-312
Date Published	04/19/2019
ISSN	1558-1349
Keywords	Decompression, Surgical, Lumbar Vertebrae, Minimally Invasive Surgical Procedures, Spinal Stenosis, Spondylolisthesis
Abstract	The unilateral laminotomy for bilateral decompression initially was described in the late 1990s and has evolved in conjunction with minimally invasive surgical instrumentation. This technique has been shown to significantly improve bilateral symptoms regardless of the side of approach. It also can be used for multilevel decompressions using the slalom technique with alternating lateralizing sites of access. The over-the-top technique involving a unilateral approach for bilateral decompression helps preserve the posterior tension band and can accomplish the operative goals with better clinical outcomes than traditional open approaches.
DOI	10.1016/j.nec.2019.02.004
PubMed ID	31078231