Discectomy and Laminectomy

  • Burak M. OzgurEmail author
  • Scott C. Berta
  • Andrew D. Nguyen

Methods of discectomy and lumbar decompression continue to evolve in efforts to perform a surgical decompression. A direct decompression simply requires an operative corridor in which to access the spinal canal. We can study the same approach as some of the latest fusion techniques, including approaches from the anterior, posterior, lateral, and posterolateral. The transforaminal interbody lumbar fusion (TLIF) method developed by Harms [1] is a modification of the posterior lumbar interbody fusion (PLIF) method. The procedure varies primarily in the access to the spine, being a unilateral, posterolateral approach to the spine [2]. This is important to understand because it is an approach that can be used for various surgical goals, including discectomy, laminectomy, and interbody fusion.


Interbody Fusion Posterior Lumbar Interbody Fusion Transforaminal Interbody Lumbar Fusion Lateral Recess Posterolateral Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Harms JG, Jeszenszky D. The unilateral, transforaminal approach for posterior lumbar interbody fusion. Orthop Traumatol. 1998;6:88–99.Google Scholar
  2. 2.
    Moskowitz A. Transforaminal lumbar interbody fusion. Orthop Clin North Am. 2002;33:359–366.CrossRefPubMedGoogle Scholar
  3. 3.
    Brodke DS, Dick JC, Kunz DN, et al. Posterior lumbar interbody fusion. A biomechanical comparison, including a new threaded cage. Spine. 1997;22:26–31.CrossRefPubMedGoogle Scholar
  4. 4.
    Goldstein JA, McAfee PC. Minimally invasive endoscopic surgery of the spine. J So Orthop Assoc. 1996;5:251–262.Google Scholar
  5. 5.
    Lieberman IH, Willsher PC, Litwin DE, et al. Transperitoneal laparoscopic exposure for lumbar interbody fusion. Spine. 2000;25:509–515.CrossRefPubMedGoogle Scholar
  6. 6.
    Obenchain TG. Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg. 1991;1:145–149.PubMedGoogle Scholar
  7. 7.
    Olsen D, McCord D, Law M. Laparoscopic discectomy with anterior interbody fusion of L5-S1. Surg Endosc. 1996;10:1158–1163.CrossRefPubMedGoogle Scholar
  8. 8.
    Regan JJ, Aronoff RJ, Ohnmeiss DD, et al. Laparoscopic approach to L4–L5 for interbody fusion using BAK cages: experience in the first 58 cases. Spine. 1999;24:2171–2174.CrossRefPubMedGoogle Scholar
  9. 9.
    Regan JJ, Yuan H, McAfee PC. Laparoscopic fusion of the lumbar spine: minimally invasive spine surgery. A prospective multicenter study evaluating open and laparoscopic lumbar fusion. Spine. 1999;24:402–411.CrossRefPubMedGoogle Scholar
  10. 10.
    Zdeblick TA, David SM. A prospective comparison of surgical approach for anterior L4–L5 fusion: laparoscopic versus mini anterior lumbar interbody fusion. Spine.2000;25:2682–2687.CrossRefPubMedGoogle Scholar
  11. 11.
    Ozgur BM, et al. Minimally-invasive technique for transforaminal lumbar interbody fusion (TLIF). Eur Spine J. 2005 November;14(9):887–894. Epub 2005 September 8.CrossRefPubMedGoogle Scholar
  12. 12.
    Mayer HM, editor. Minimally Invasive Spine Surgery: A Surgical Manual. 2nd ed. Berlin: Springer; 2006. p. 361.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Burak M. Ozgur
    • 1
    Email author
  • Scott C. Berta
    • 2
  • Andrew D. Nguyen
    • 3
  1. 1.Director of Minimally Invasive Spine Surgery, Assistant Professor of Neurosurgery, Department of NeurosurgeryCedars-Sinai Medical CenterLos AngelesUSA
  2. 2.Neurosurgery Resident, Division of NeurosurgeryUniversity of California-San Diego,UCSD Medical CenterSan DiegoUSA
  3. 3.Neurosurgery Resident Physician, Division of Neurosurgery and Senior Clinical Fellow, Division of Neuro-Interventional RadiologyUniversity of California-San Diego Medical CenterSan DiegoUSA

Personalised recommendations