PMID: 8939834Dec 1, 1996Paper

Laparoscopic discectomy with anterior interbody fusion of L5-S1

Surgical Endoscopy
D OlsenM Law

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

Oct 18, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sang Ki ChungHo Yeon Lee
Sep 10, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Burak M OzgurWilliam R Taylor
Nov 6, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Wan-Kun HuJian Wang
Feb 12, 2000·American Journal of Surgery·N KatkhoudaA Ting
Dec 7, 2007·Surgical Neurology·Michael Payer, Cyrille Sottas
Oct 3, 2006·Neurosurgery Clinics of North America·Ciaran J Powers, Robert E Isaacs
Jul 11, 2006·The Spine Journal : Official Journal of the North American Spine Society·Burak M OzgurWilliam R Taylor
Jan 18, 2006·The Spine Journal : Official Journal of the North American Spine Society·Burak M OzgurWilliam R Taylor
Jun 10, 2017·Orthopedics·Eugene WongRandolph J Gray
Feb 24, 2001·Clinical Neurosurgery·C J Riedel
Nov 4, 2000·The Surgical Clinics of North America·B T HenifordI H Lieberman

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