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"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.

Title"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 TypeJournal Article
Year of Publication2018
AuthorsWipplinger C, Melcher C, R Hernandez N, Lener S, Navarro-Ramirez R, Kirnaz S, Schmidt FAnna, Kim E, Härtl R
JournalJ Spine Surg
Volume4
Issue4
Pagination780-786
Date Published2018 Dec
ISSN2414-469X
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.

DOI10.21037/jss.2018.10.01
Alternate JournalJ Spine Surg
PubMed ID30714010
PubMed Central IDPMC6330591