Relationship between Surgical Technique and the Incidence of Adjacent Level Pathology in Lumbar Spine Fusion: Open Traditional Approach (OTA) Versus Minimally Invasive Transforaminal Interbody Fusion and Percutaneous Screws (MIS TLIF/PPS)

Abstract

Large Skin incision, significant muscle retraction, and bone removal associated with traditional fusion procedure are known to lead to a long recovery time, postoperative complications. Adjacent Level disease (ALP) refers to the degeneration of the segment above and/or below the fused vertebrae. Many factors as disturb of the facet joints and posterior ligament complex lead to a biomechanical alterations. MIS procedures may decrease or prevent ALP from occurring.