Update review and clinical presentation on chronic low back pain treated by AxiaLIF

  • Samo K. Fokter
Up-to date Review and Case Report


Paracoccygeal approach to the L5–S1 junction with transsacral instrumentation was described recently as an alternative method to transforaminal lumbar interbody fusion or posterior lumbar interbody fusion. A percutaneous L5–S1 discectomy, interbody distraction, and fixation could be achieved while preserving the integrity of the muscles, ligaments, and disc anulus. Retroperitoneal viscera and dorsal neural elements are avoided via the presacral safe zone. Additional pedicle or facet screw fixation is recommended to provide stabilization and promote fusion. AxiaLIF represents a solid-based fusion technique for degenerative disc disease at L5–S1 level with minimal collateral damage in carefully selected patients.


Chronic low back pain Degenerative disc disease Minimally invasive spine surgery Axial interbody fusion 


Conflict of interest statement

No funds were received in support of this study.


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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  1. 1.Department of Orthopaedic Surgery and Sports TraumaCelje General HospitalCeljeSlovenia

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