Psoas strapping technique: a new technique for laparoscopic anterior lumbar interbody fusion

Abstract

Recently endoscopy has started to be used for spinal surgery. The benefit of using endoscopy is that it is less invasive, and the small incision results in a shorter hospital stay. In a standard technique for laparoscopic anterior lumbar fusion, the conventional approach for L1/2-L4/5 is retroperitoneal. This approach has a critical point in retracting the iliopsoas muscle because this muscle is bulky at the level of L4/5 and contains a lot of peripheral nerves.