title: Mini-open posterior approach for adult deformity correction.
abstract: Minimally invasive surgical (MIS) approaches are gaining popularity in many surgical fields. Potential advantages include reduced blood loss, shorter length of stay, and less soft-tissue trauma. Potential disadvantages include inadequate deformity correction, increased fluoroscopy, longer operative times, and decreased posterolateral fusion surface area exposure. This video demonstrates the key steps in our mini-open transforaminal lumbar interbody fusion (TLIF) using an expandable tubular retractor, placement of cannulated pedicle instrumentation, and subsequent deformity correction. The video demonstrates positioning, surgical opening through a midline incision, a bilateral Wiltse plane tubular approach for the TLIF, placement of bilateral cannulated pedicle screws, and deformity correction. The video can be found here: http://youtu.be/Fpccr4MlLMU.
authors.affiliation: Kadlec Neuroscience Center, Neurological Surgery, Richland, Washington, USA.
authors.forename: Cheerag
authors.initials: C
authors.lastname: Upadhyaya
authors.forename: John
authors.initials: J
authors.lastname: Ziewacs
authors.forename: Praveen
authors.initials: P
authors.lastname: Mummaneni
mesh_terms: D000328:Adult; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D013116:Spinal Cord / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods*; D014741:Video Recording / Q000379:methods