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 |