Double-segment Wilhelm Tell technique for anterior lumbar interbody fusion in unstable isthmic spondylolisthesis and adjacent segment discopathy

The Wilhelm Tell technique is a novel instrumented anterior lumbar interbody fusion (ALIF) procedure using a specially designed composite carbon fibre cage and a single short-threaded cancellous screw that obliquely passes through the upper adjacent vertebral body, the interbody cage itself and thro...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2006-02, Vol.13 (2), p.265-269
Main Authors: Wenger, Markus, Vogt, Emanuel, Markwalder, Thomas-Marc
Format: Article
Language:English
Subjects:
Adult
ALIF
Cage
Degenerative disc disease
Female
Humans
Isthmic spondylolisthesis
Magnetic Resonance Imaging
Neurosurgical Procedures
Pain - etiology
Radiography
Spinal Diseases - diagnostic imaging
Spinal Diseases - etiology
Spinal Diseases - surgery
Spinal Fusion
Spine surgery
Spondylolisthesis - complications
Spondylolisthesis - diagnostic imaging
Spondylolisthesis - surgery
Stabilisation
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Description
Summary:The Wilhelm Tell technique is a novel instrumented anterior lumbar interbody fusion (ALIF) procedure using a specially designed composite carbon fibre cage and a single short-threaded cancellous screw that obliquely passes through the upper adjacent vertebral body, the interbody cage itself and through the lower adjacent vertebral body. This single-stage fusion method, which is in principle a combination of the Louis technique and modern cage surgery, is reported to have a lower rate of pseudoarthrosis formation than stand-alone cage techniques. In addition, it eliminates both the surgical trauma of paravertebral muscle retraction and the risk of neural damage by poorly located pedicular screws. This anterior approach allows decompression of neural structures within the anterior part of the spinal canal and the foraminal region. It is the purpose of this case report, to present the successful application of this novel technique in a 32-year-old woman who concurrently suffered from severe instability-related back pain from L4/5 isthmic spondylolisthesis and marked L5/S1 degenerative disc disease.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2005.03.028