• Joseph M Abbatematteo, Juan P Giraldo, Gabriella P Williams, Jonathan J Lee, Joseph D DiDomenico, Michael D White, Katriel E Lee, Luke K O'Neill, Steve S Cho, Robert F Rudy, Jay D Turner, and Juan S Uribe.
• Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.
• World Neurosurg. 2024 Sep 1; 189: 707670-76.

BackgroundSurgical management of lumbar spondylolisthesis requires neural decompression, stabilization, and alignment restoration. Minimally invasive spine approaches offer a wide variety of advantages for spondylolisthesis management. This intraoperative note describes the treatment of L4-L5 lumbar spondylolisthesis with lateral lumbar interbody fusion (LLIF) and percutaneous pedicle screw fixation (PSF).MethodsThe surgical technique for treating L4-L5 lumbar spondylolisthesis using a minimally invasive approach with LLIF and percutaneous PSF is described. This operative technique is illustrated with figures, and an intraoperative case example of its application is described.ResultsLLIF with percutaneous PSF can be a safe, effective, and reliable option for treating lumbar spondylolisthesis when applied with appropriate surgical technique in a selected patient population. This technique is a valuable addition to the range of available spine surgical options.ConclusionsLLIF with percutaneous PSF can be an effective technique for treating lumbar L4-L5 spondylolisthesis.Copyright © 2024 Elsevier Inc. All rights reserved.

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