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VOLUME 6 , ISSUE 2 ( April-June, 2019 ) > List of Articles

Original Article

Percutaneous Axial Presacral Lumbar Interbody Fusion: A Preliminary Case Series (Three Cases)

Shashivadhanan Sundaravadhanan

Keywords : Interbody fusion, Percutaneous, Presacral axial lumbar

Citation Information : Sundaravadhanan S. Percutaneous Axial Presacral Lumbar Interbody Fusion: A Preliminary Case Series (Three Cases). J Spinal Surg 2019; 6 (2):49-52.

DOI: 10.5005/jp-journals-10039-1215

License: CC BY-NC 4.0

Published Online: 01-09-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Introduction: Traditional surgical management of lumbosacral spondylolisthesis is technically challenging and is associated with significant complications. The combination of percutaneous pedicle screw reduction and an axial presacral approach for lumbosacral discectomy and fusion offers an alternative procedure for the surgical management of low-grade lumbosacral spondylolisthesis. In an attempt to alleviate many of the limitations of previous lumbar fusion techniques, a presacral approach to the lumbosacral junction has been investigated. This study attempts to analyze the feasibility and efficacy of percutaneous 360° axial lumbar interbody fusion (AxiaLIF) as a standard procedure for lumbar fusion. Materials and methods: A total of three patients were evaluated in this study. The AxiaLIF system (TranS1, Inc., Wilmington, NC) was used for this new fusion technique which combines a minimally invasive technique with a novel corridor approach. Results were compared preoperatively and following the surgery at 3 and 6 months. Observation: There was a significant improvement in the pain scores. No complications were recorded and Magnetic Resonance Imaging revealed satisfactory implant placement with no neural compromise. Conclusion: The AxiaLIF is a feasible procedure which will require long term studies before it can be validated as a standard technique for lumbar fusion.


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