Purpose: The authors describe a percutaneous technique to treat advanced degenerative disk disease in elderly patients.
Method: A step-by-step technical description based on our experience in selected cases.
Result: Postoperative imaging results are presented as well as indications and recommendations.
Study Design: Retrospective study.
Objective: Spinal metastasis can produce pain, deformity, neurological compromise and can decrease life expectancy. Surgical management is usually indicated for pain control, neurological decompression, and to avoid deformity progression.
Unlabelled: XLIF is an increasingly popular procedure that requires traversing the psoas, with the potential risk of injuring the lumbar plexus nerves. Intraoperative neurophysiological monitoring (IOM) is, therefore, critical in this kind of procedures; nevertheless, there were some reports of neural damage.
Purpose: To determine the effectiveness of a new protocol for IOM during XLIF.