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Lateral Fusion for Lumbar Spondylolisthesis.
Juan P Giraldo1, Winward Choy1, Otilia A Ramos1
1Department of Neurosurgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Neurosurgery Clinics of North America
|November 20, 2025
Summary
Lateral lumbar interbody fusion with percutaneous posterior fixation is a safe and effective treatment for lumbar spondylolisthesis. This minimally invasive approach offers advantages in decompression, reduction, and stability, supporting its use in selected patients.
Area of Science:
- Spine surgery
- Orthopedic surgery
- Minimally invasive procedures
Background:
- Lumbar spondylolisthesis requires effective surgical management.
- Traditional fusion techniques may have limitations.
- Minimally invasive options are increasingly sought.
Purpose of the Study:
- To evaluate the safety and efficacy of lateral lumbar interbody fusion with percutaneous posterior fixation for lumbar spondylolisthesis.
- To highlight the advantages of this technique in achieving key surgical goals.
Main Methods:
- The study describes a technique involving lateral lumbar interbody fusion combined with percutaneous posterior fixation.
- Emphasis is placed on optimal rod contouring, controlled reduction, and cement augmentation.
Main Results:
- The approach is safe, effective, and reproducible for treating lumbar spondylolisthesis.
- Significant advantages were observed in neural decompression, spondylolisthesis reduction, and construct stability.
- Favorable outcomes were noted in appropriately selected patients.
Conclusions:
- Lateral lumbar interbody fusion with percutaneous posterior fixation is a viable minimally invasive solution for lumbar spondylolisthesis.
- The technique offers significant benefits for decompression, reduction, and stability.
- Careful patient selection and technique optimization are key to maximizing construct longevity.

