LAPAROSCOPIC 2-LEVEL INTERBODY FUSION OF THE LUMBAR SPINE WITH BAGBY AND KUSLICH (BAK) IMPLANTS

In a 50-year-old female patient, presenting with permanent low lumbar back pain and intermittent neurological alterations due to degenerativ e disc disease L4-5 and L5-/S1 we demonstrate that two-level anterior interbody fusion can be performed via laparoscopic transabdominal inst rumentation using BAK interbody implants. Intervertebral disc space L5 -/S1 was stabilized approaching the spine caudally of the aortic bifur cation, while disc space L4-L5 required an approach from the left late ral aspect, mobilizing the aorta and vena cava to the right. The posto perative course was without complications and allowed discharge from t he hospital on day 8. X-ray control 4 months later demonstrated restor ation of adequate disc space at L4-L5 and L5-/S1 and appropriate posit ioning of the implants.