• World Neurosurg · Feb 2019

    Case Reports

    Endoscope-assisted anterior lumbar interbody fusion with CT-guided image navigated unilateral cortical bone trajectory screw fixation in managing adjacent segment disease in L5/S1: a technical note.

    • Vit Kotheeranurak, Guang-Xun Lin, Akaworn Mahatthanatrakul, and Jin-Sung Kim.
    • Department of Orthopedics, Queen Savang Vadhana Memorial Hospital, Sriracha, Chonburi, Thailand.
    • World Neurosurg. 2019 Feb 1; 122: 469-473.

    ObjectiveWe sought to describe a novel technique in managing a patient with adjacent segment disease at the L5/S1 level.MethodsWe performed an endoscope-assisted anterior lumbar interbody fusion with computed tomography-guided, image-navigated unilateral cortical bone trajectory screw fixation to treat L5/S1 intervertebral disk pathology.ResultsPatient was successfully treated by a direct endoscopic decompression through the anterior access, interbody fusion using an anterior lumbar interbody fusion cage, unilateral cortical bone trajectory instrumentation under computed tomography-guided image navigation.ConclusionsThis minimally invasive technique is effective in terms of decompression and fixation. It could be used as an alternative method to treat patients with L5/S1 adjacent segment disease.Copyright © 2018 Elsevier Inc. All rights reserved.

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