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Minimally Invasive Approaches for Surgical Treatment of Lumbar Spondylolisthesis.

TitleMinimally Invasive Approaches for Surgical Treatment of Lumbar Spondylolisthesis.
Publication TypeJournal Article
Year of Publication2019
AuthorsHussain I, Kirnaz S, Wibawa G, Wipplinger C, Härtl R
JournalNeurosurg Clin N Am
Volume30
Issue3
Pagination305-312
Date Published2019 Jul
ISSN1558-1349
KeywordsDecompression, Surgical, Humans, Lumbar Vertebrae, Minimally Invasive Surgical Procedures, Neurosurgical 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.

DOI10.1016/j.nec.2019.02.004
Alternate JournalNeurosurg Clin N Am
PubMed ID31078231