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Historical Review. Disadvantages of posterior fusion large skin incisionsextensive muscle dissectiontrauma to the lumbar musculoligamentous complexlong operation timesignificant blood losssignificant postoperative painpostoperative paraspinal muscle denervationGoals of Mini-open Posterior D
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1. Conventional Posterior Lumbar Interbody Fusion versus Mini-open Posterior Lumbar Interbody Fusion using the New Percutaneously Inserted
Spinal Transpedicular Screwing System
2. Historical Review Disadvantages of posterior fusion
large skin incisions
extensive muscle dissection
trauma to the lumbar musculoligamentous complex
long operation time
significant blood loss
significant postoperative pain
postoperative paraspinal muscle denervation
Goals of Mini-open Posterior Decompression & Fusion
=> To reduce the approach-related morbidity associated with traditional lumbar fusion
minimal skin incision and anatomic dissection
minimal operation time
minimal blood loss & minimal transfusion
minimal postoperative pain
minimal hospital stay period
better cosmetic benefits
3. Material and Methods
4. Methods : Device
5. Methods : Operation Methods
6. Methods : Operation Methods
7. Methods : Low Back Outcome Scale
8. Results
9. Results : Skin Incision Length
10. Discussion : Evolution of Minimal Invasive Lumbar Fusion
11. Discussion : Mini-open PLIF Versus TLIF
12. Discussion : Modified Mini-open PLIF
13. Discussion : Bone Cement Augmentation for Osteoporosis
14. Cases : One Level – Non-osteoporotic
15. Cases : One Level - Osteoporotic
16. Cases : Two Level – Non-osteoporotic
17. Cases : Two Level –Osteoporotic
18. Cases : Three Level – Non-osteoporotic
19. Cases : Three Level – Non-osteoporotic
20. Cases : Three Level – Non-osteoporotic
21. Cases : Three Level – Osteoporotic
22. Conclusion