An evolving anatomy conserving stabilization method which uses a small midline incision, interbody fusion (IBF), and a divergent, corticocancellous screw trajectory has been gaining in popularity.
This increase in popularity can be attributed to numerous factors, including:
1. Stabilization quality: The use of interbody fusion provides excellent anterior column support and the screw trajectory engages more cortical bone than traditional approaches.
2. Decompressive access: The procedure is done through a midline (laminectomy) exposure and provides excellent visualization of all neural anatomy.
3. Anatomy conservation: Construct assembly can be completed within the confines of a typical laminectomy exposure; no additional exposure for the fusion construct is required.
