Performing Lumbosacral Transdiscal Fixation: The Boachie Screw Technique

Area of Science:

• Spine surgery
• Orthopedic surgery
• Neurosurgery

Background:

• High-grade spondylolisthesis requires surgical intervention for stability and neurological decompression.
• The lumbosacral junction is a common site for spondylolisthesis, presenting surgical challenges.

Purpose of the Study:

• To evaluate the efficacy of the Boachie screw technique for transdiscal screw fixation in treating high-grade spondylolisthesis.
• To assess the outcomes of this technique regarding reduction, decompression, fixation, and arthrodesis.

Main Methods:

• Transdiscal screw fixation utilizing the Boachie technique at the lumbosacral junction.
• Surgical procedure involves partial reduction, neural element decompression, and posterior fixation.

Main Results:

• The Boachie technique provides reliable posterior lumbosacral fixation.
• The procedure allows for partial reduction of spondylolisthesis and decompression of neural elements.
• High rates of arthrodesis and relief of preoperative neurological symptoms are achieved when performed properly.

Conclusions:

• Transdiscal screw fixation via the Boachie technique is a well-accepted and effective treatment for high-grade spondylolisthesis.
• Properly executed, this technique yields reliable results, successful fusion, and significant neurological symptom improvement.