Old and new fashion: Minimally invasive spine surgery for adjacent segmental spinal stenosis after Luque sublaminar wiring and posterolateral fusion - case report-

Abstract

Study DesignA case report.ObjectivesTo report a rare case of minimally invasive spine surgery after sublaminar wiring fixation with Luque rods.Summary of Literature ReviewIn the past, sublaminar wiring fixation with Luque rods was believed to be an effective fixation method; however, the development of transpedicular fixation resulted in the discontinuation of this method. Currently, instead of classical surgery using a broad incision, minimally invasive spine surgery is performed, which has a multitude of advantages.Materials and MethodsInitially, the patient underwent Luque sublaminar wiring and posterolateral fusion. After 25 years, minimally invasive TLIF and percutaneous transpedicular fixation were performed for the adjacent segmental spinal stenosis.ResultsA good bone union is developing with an excellent clinical outcome, 14 months after the surgery.ConclusionsWe report a very rare case of a patient who underwent Luque sublaminar wiring and then, 25 years later, had spine surgery with minimally invasive techniques.