American Association of Neurological Surgeons | Minimally invasive oblique interbody fusion for correction of iatrogenic lumbar deformity @AANSNeurosurgery | Uploaded February 2020 | Updated October 2024, 10 hours ago.
Christopher Wilkerson, MD, Vance Mortimer, AS, Andrew T. Dailey, MD, and Marcus D. Mazur, MD

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah

Spinal instability may arise as a consequence of decompressive lumbar surgery. An oblique lumbar interbody fusion combined with pedicle screw fixation can provide indirect decompression on neural elements, stabilization of mobile spondylolisthesis, and restoration of segmental lordosis. Minimally invasive techniques may facilitate a shorter hospitalization and faster recovery than a traditional open revision operation. The authors describe the use of an anterior interbody fusion via an oblique retroperitoneal approach and posterior pedicle screw fixation to treat a 67-year-old woman who developed L3–4 and L4–5 unstable spondylolisthesis after a lumbar laminectomy.

DOI: 10.3171/2020.1.FocusVid.19706


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