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Laparoscopic assisted spine surgery.

P F Heini·L Krähenbühl·O Schwarzenbach·M Lottenbach
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Abstract

BACKGROUND: Evaluation of the technical aspects and clinical outcome of laparoscopic assisted interbody fusion (LAIF) using the BAK technique. METHOD: 17 patients with chronic low back pain due to degenerative disc disease at L5-S1 and L4-L5 were treated with LAIF using the BAK technique. Surgical time, blood loss and intraoperative problems were assessed. The short-term clinical and radiological outcome was measured. RESULTS: The technical part of the procedure depends on a learning curve. However, in collaboration with a laparoscopic surgeon no complications related to the technique occurred. The limits of the technique are due to the anatomical situation at the L4-L5 level. 14/17 patients had an improvement in their lower back pain. CONCLUSION: The technique of LAIF is demanding. The L5-S1 level can be addressed with ease; however, transabdominal fusion of L4-L5 is not recommended. Patient selection remains the keystone. LAIF is the least invasive measure in order to stabilize and fuse a motion segment.

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HumansIntervertebral DiscLaparoscopyLow Back PainSpinal DiseasesSpinal FusionJournal Article

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P F Heini, L Krähenbühl, O Schwarzenbach, M Lottenbach. 1998. Laparoscopic assisted spine surgery.. https://doi.org/10.1159/000018596

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