Abstract
A laparoscopic approach to the spine for the performance of a minimally invasive discectomy was first described in 1991. Since that time, a number of approaches to laparoscopic discectomy have appeared in the literature. Although these reports demonstrate the ability to approach the spine through a laparoscopic technique, they do not address the issues of loss of disc space, lumbar instability, and the need for interbody fusion. Described is a technique of laparoscopic discectomy with interbody fusion that has been performed successfully in 75 patients. Although a carbon fiber implant was utilized to aid in the fusion process, the technique can equally be performed using donor bone as the interbody support. In the 75 patients attempted, 73 procedures were successfully completed via the laparoscopic approach. One patient was converted to an open anterior approach due to extensive pelvic adhesions from prior surgery. A second patients procedure was aborted after the diagnostic laparoscopy demonstrated dense presacral scarring from a previous gynecological procedure. There were no major complications in the series. Two patients with high riding bladders sustained bladder lacerations that were recognized and repaired with simple su...Continue Reading
Citations
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