Paracoccygeal Transsacral Access to the Lumbosacral Junction for Interbody Fusion and Stabilization


Minimally invasive spinal surgery is not one single device, technique, or tool. It is a philosophy of targeting the pathological tissue while minimizing collateral tissue damage in order to preserve native function and promote rapid recovery. In the development of minimally invasive surgical techniques, one requires a thorough understanding of the spinal anatomy, an appreciation of the pathology, and specialized tools to facilitate the intended intervention.


Disc Space Interbody Fusion Sacral Promontory Presacral Space Lumbosacral Junction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Cragg A, Carl A, Casteneda F, Dickman C, Gutterman L, Oliveira C. New percutaneous access method for minimally invasive anterior lumbar surgery. J Spinal Disord Tech. 2004;17(1):21–28.CrossRefPubMedGoogle Scholar
  2. 2.
    Yuan PS, Day TF, Albert TJ, et al. Anatomy of the percutaneous presacral space for a novel fusion technique. J Spinal Disord Tech. 2006 June;19(4):237–241.Google Scholar
  3. 3.
    Parke W, Whalen J, et al. The infra-aortic arteries of the spine: their variability and clinical significance. Spine. 1994;19(1):1–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Oto A, Peynircioglu B, Eryilmaz M, et al. Determination of the width of the presacral space on magnetic resonance imaging. Clin Anat. 2004;17(1):14–16.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Medical Interventional and Surgical Spine CenterCleveland Clinic FloridaFt. LauderdaleUSA
  2. 2.Clinical Professor of RadiologyUniversity of MinnesotaEdimaUSA

Personalised recommendations