Old and New Fashion: Minimally Invasive Spine Surgery for Adjacent Segmental Spinal Stenosis after Luque Sublaminar Wiring and Posterolateral Fusion: Case Report

ABSTRACT

STUDY DESIGN: A case report. OBJECTIVES: To report a rare case of minimally invasive spine surgery after sublaminar wiring fixation with Luque rods. SUMMARY OF LITERATURE REVIEW In 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 METHODS: Initially, 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. RESULTS: A good bone union is developing with an excellent clinical outcome, 14 months after the surgery. CONCLUSIONS: We 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.