A bilateral approach to the lumbar spine is described in which each sacrospinalis is split on a sagittal plane three-fourths of the way out to the lateral margin of the muscle. The approach is especially valuable for one-level fusions in a young person with spondylolisthesis. One iliac crest usually supplies enough bone for both sides. We have used this approach in 49 patients as an alternative to the mid-line line approach and have found that it is extremely valuable in some circumstances.
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A bilateral approach to the lumbar spine is described in which each sacrospinalis is split on a sagittal plane three-fourths of the way out to the lateral margin of the muscle. The approach is especially valuable for one-level fusions in a young person with spondylolisthesis. One iliac crest usually supplies enough bone for both sides. We have used this approach in 49 patients as an alternative to the mid-line line approach and have found that it is extremely valuable in some circumstances.
Copyright remains with the authors and publisher.