the current state of minimally invasive spine surgery by choll w. kim, krzysztof siemionow, d. greg...

The Current State of Minimally Invasive Spine Surgery

by Choll W. Kim, Krzysztof Siemionow, D. Greg Anderson, and Frank M. Phillips

J Bone Joint Surg AmVolume 93(6):582-596

March 16, 2011

©2011 by The Journal of Bone and Joint Surgery, Inc.

A: Axial T2-weighted MRI image through the L4-L5 disc showing the multifidus (MU), iliocostalis (IL), longissimus (LO), quadratus lumborum (QL), intertransversarii (IT), and psoas (PS) muscles.

Choll W. Kim et al. J Bone Joint Surg Am 2011;93:582-596


Axial T2-weighted MRI image through the disc space at L2-L3 (A), L3-L4 (B), L4-L5 (C), and L5-S1 (D).



A: Axial T2-weighted MRI image at the L4-L5 level, showing the surgical corridor made with use of a tubular retractor (solid white lines) and the trajectory of the surgical target site (dashed

lines).



The minimally invasive transforaminal lumbar interbody fusion and decompression is shown.



A: Intraoperative photograph showing proper positioning for a direct lateral transpsoas approach.



Direct lateral transpsoas approach and the safe zone.



Direct lateral discectomy and insertion of an interbody cage.



Preoperative (A and C) and postoperative (B and D) radiographs demonstrating the magnitude of curve correction in a sixty-eight-year-old woman who underwent treatment for a long-standing

history of low-back pain and left anterior thigh pain.



Minimally invasive rod insertion and deformity correction.



the current state of minimally invasive spine surgery by choll w. kim, krzysztof siemionow, d. greg...

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