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Abstract

Researches in Arthritis & Bone Study

Simultaneous Oblique Lumbar Interbody Fusion (OLIF) and Lateral Percutaneous Pedicle Screw Fixation (Lateral PPS): A Technical Note

Submission: January 16, 2019; Published: February 04, 2019

Volume1 Issue4
February, 2019

Abstract

Purpose: Due to its distinct advantages, lateral approach to the lumbar spine with insertion of percutaneous pedicle screws is increasingly used to treat lumbar degenerative pathologies. We describe a novel technique of simultaneous Oblique Lumbar Interbody Fusion [OLIF] and Percutaneous Pedicle Screw [PPS] insertion in single lateral position with O-arm based navigation system. To the best of our knowledge, this technique has not yet been described in the literature.

Methods: The authors report clinical and radiological results of a 73-year-old lady treated for degenerative lumbar pathology. The authors performed C-arm free OLIF and PPS in single lateral decubitus position simultaneously and describe the technique in detail.

Result: The patient was successfully relieved of her pre-operative symptoms with no neurological sequelae. At 18 months follow up, she maintained good sagittal alignment and balance.

Conclusion: Simultaneous insertion of OLIF cage and PPS in lateral position is possible with O-arm based navigation technique. This significantly reduces operating time and radiation exposure without compromising the results.

Keywords: Navigation surgery; Lateral lumbar; Interbody fusion; O-arm; Percutaneous pedicle screw; C arm free

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