Presacral Fusion for Adult Spondylolisthesis

  • Gurpreet S. Gandhoke
  • Peter C. Gerszten


Low-grade spondylolisthesis has been traditionally treated with decompressive laminectomy and posterolateral, interbody fusion, or a combination of both. The combination of an axial presacral approach combined with percutaneous pedicle screw fixation for lumbosacral discectomy and fusion offers a minimally invasive alternative procedure for the surgical management of low-grade lumbosacral spondylolisthesis. This chapter elucidates the anatomy of the presacral space, the biomechanics of presacral axial fusion, and the technique of the axial presacral approach in treating low-grade spondylolisthesis. In addition, we have also highlighted the possible pitfalls and steps to avoid complications at each step of the procedure.


Axial construct Presacral Waldeyer’s fascia Spondylolisthesis Percutaneous 


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Neurological SurgeryUniversity of Pittsburgh Medical Center, UPMC PresbyterianPittsburghUSA

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