In Situ Fusion L5 to S1

  • Stuart L. Weinstein


The patient is taken to the Operating Room and after adequate general anesthesia, is placed prone on a four poster frame (Hall-Relton frame, Jackson table, etc.) with padding under the iliac crest and breast regions. Arms are abducted 20° and elbows flexed 110°. Padding was placed under the down legs and under the down arms. All bony prominences were well padded. The back was given a standard prep and draped free in the usual sterile manner.

A midline incision was made from L4 to S1. The incision was infiltrated with 1/500,000 epinephrine. Dissection was carried down through the subcutaneous tissues, down to the spinous processes of L4–S1.


Bone Graft Iliac Crest Paraspinous Muscle Iliac Crest Bone Graft Bony Prominence 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Stuart L. Weinstein
    • 1
  1. 1.Department of Orthopedic SurgeryUniversity of Iowa Hospitals and ClinicsIowa CityUSA

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