Axial presacral interbody fusion procedure.

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© 2012 Elsevier, Inc. All rights reserved.
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Axial presacral interbody fusion procedure. Axial presacral interbody fusion procedure. Guide pin in presacral space docked on the sacrum (A). Dilator and guide pin advanced into the L5-S1 interspace (B). Nitinol cutters debulking disc material and preparing the endplates for fusion (C). It should be noted that the arc of the cutter can be rotated 360° (inset). Finally, the rod is implanted, distracting the interspace and providing L5-S1 stabilization with placement of bone graft (D). Mukund I. Gundanna et al. Int J Spine Surg 2011;5:90-94 © 2011 SAS - The International Society for the Advancement of Spine Surgery. Published by Elsevier Inc. All rights reserved.