title: [Laparoscopic 2-level fusion of the lumbar spine with Bagby and Kuslich implants].
abstract: In a 50-year-old female patient, presenting with permanent low lumbar back pain and intermittent neurological alterations due to degenerative disc disease L4-5 and L5-/S1 we demonstrate that two-level anterior interbody fusion can be performed via laparoscopic transabdominal instrumentation using BAK interbody implants. Intervertebral disc space L5-/S1 was stabilized approaching the spine caudally of the aortic bifurcation, while disc space L4-L5 required an approach from the left lateral aspect, mobilizing the aorta and vena cava to the right. The postoperative course was without complications and allowed discharge from the hospital on day 8. X-ray control 4 months later demonstrated restoration of adequate disc space at L4-L5 and L5-/S1 and appropriate positioning of the implants.
authors.affiliation: Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Chirurgische Universitätsklinik des Saarlandes, Homburg/Saar.
authors.forename: A
authors.initials: A
authors.lastname: Olinger
authors.forename: U
authors.initials: U
authors.lastname: Hildebrandt
authors.forename: G
authors.initials: G
authors.lastname: Pistorius
authors.forename: W
authors.initials: W
authors.lastname: Lindemann
authors.forename: M D
authors.initials: MD
authors.lastname: Menger
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging / Q000601:surgery*; D020706:Laparoscopes; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000601:surgery; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D019736:Prostheses and Implants; D011859:Radiography; D013123:Spinal Fusion / Q000295:instrumentation*; D016896:Treatment Outcome
vernacular_title: Laparoskopische 2-Etagenfusion der lumbalen Wirbelsäule mit Bagby-and-Kuslich(BAK)-Implantaten.