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Related Experiment Video

Updated: Sep 14, 2025

Three-dimensional Navigation-guided, Prone, Single-position, Lateral Lumbar Interbody Fusion Technique

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The Mercedes Benz Approach to the Lumbosacral Junction: A Technical Note.

Venugopal K Menon¹, Mandar Borde², Umesh P Kanade²

¹Sr. Consultant, Spine Surgery, Rajagiri Hospital, Ernakulam, Kerala, India.

Neurology India

|July 24, 2025

Summary

The novel "Mercedes Benz" incision (MBI) offers an anatomical approach to the lumbosacral junction, reducing denervation and complications. This technique provides excellent surgical exposure for lumbosacral fixations.

Keywords:

Lumbosacral junction Mercedez Benz incision posterior approach

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Area of Science:

Neurosurgery
Orthopedic Surgery
Spinal Surgery

Background:

The posterior midline incision is the standard surgical approach to the lumbosacral junction (LSJ).
This standard approach has documented limitations and potential complications.
Existing alternative incisions are often unsuitable for lumbosacral fixation procedures.

Purpose of the Study:

To describe the technical details and illustrate the application of the "Mercedes Benz" incision (MBI) for LSJ access.
To present the MBI as a viable alternative to the standard posterior midline incision for lumbosacral procedures.

Main Methods:

The authors detail the step-by-step surgical technique of the "Mercedes Benz" incision.
The report includes illustrations and case examples of the MBI application.
The MBI approach emphasizes anatomical considerations to minimize tissue disruption.

Main Results:

The "Mercedes Benz" incision provides excellent surgical exposure of the LSJ, including the ilium.
The anatomical nature of the MBI approach is associated with reduced denervation.
The MBI technique demonstrated minimal complications in the presented cases.

Conclusions:

The "Mercedes Benz" incision is an effective and safe surgical approach to the lumbosacral junction.
This novel approach offers wide indications for lumbosacral fixation and related procedures.
The MBI technique represents a significant advancement over the traditional posterior midline incision.