Türk Nöroşirürji Dergisi 2009 , Vol 19 , Num 3
Percutaneous Axial Lumbar Interbody Fusion (AxiaLIF)
Rahmi Kemal KOÇ, Bülent TUCER
Erciyes Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, Kayseri, Türkiye INTRODUCTION: Anterior access to the L5-S1 disc space for interbody fusion can be technically challenging. We reviewed our experience with a novel minimally invasive technique for L5-S1 interbody fusion which is AxiaLIF.

METHODS: 11 patients were included in this analysis. Back or leg pain was secondary to lumbar degenerative disc disease, degenerative instability or degenerative foraminal stenosis. All patients had radiographic evidence of L5-S1 degeneration and underwent percutaneous paracoccygeal AxiaLIF with cage, autograft, or local bone autograft and demineralise bone matrix.

RESULTS: Preoperative VAS was 3.4, postoperative VAS was 0.5. Ten patients (91%) had radiographic evidence of stable L5-S1 interbody cage placement and fusion at the last follow-up.

CONCLUSIONS: The percutaneous paracoccygeal approach to the L5-S1 interspace provides a minimally invasive corridor through which discectomy and interbody fusion can safely be performed. Anahtar Kelimeler : AxiaLif, Instrumentation, Lumbar interbody fusion