Simultaneous Oblique Lumbar Interbody Fusion (OLIF) and Lateral Percutaneous Pedicle Screw Fixation (Lateral PPS): A Technical Note by Tanaka M* in Researches in Arthritis & Bone Study_ Journal of Arthritis Bone Disease
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.
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