Update review and clinical presentation on chronic low back pain treated by AxiaLIF
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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.
KeywordsChronic 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.
- 4.Benzel EC (1995) Spinal fusion. In: Benzel EC (ed) Biomechanics of spine stabilisation. McGraw-Hill, New York, pp 103–108Google Scholar