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Journal of Bone and Joint Surgery, 1968;50:919-926.
© 1968 by The Journal of Bone and Joint Surgery, Inc

The Paraspinal Sacrospinalis-Splitting Approach to the Lumbar Spine

LEON L. WILTSE M.D.1, J. GORDON BATEMAN M.D.2, ROBERT H. HUTCHINSON M.D.3, and WILLIAM E. NELSON M.D.4

1 909 Pine Avenue, Long Beach, California 90813
2 911 Pine Avenue, Long Beach, California 90813
3 Long Beach Veterans Administration Hospital, 7th and Bellflower, Long Beach, California 90804
4 3584 Century Boulevard, Lynwood, California 90262

A bilateral approach to the lumbar spine is described in which each sacrospinalis is split on a sagittal plane three-fourths of the way out to the lateral margin of the muscle. The approach is especially valuable for one-level fusions in a young person with spondylolisthesis. One iliac crest usually supplies enough bone for both sides. We have used this approach in forty-nine patients as an alternative to the mid-line line approach and have found that it is extremely valuable in some circumstances.


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