Minimally invasive spine surgery (MISS) continues to improve patient outcomes. This illustration demonstrates the approach to decompress the spinal cord by drilling away the underside of the vertebral lamina and removing thickened and calcified ligamentum flava. WIth retractor blades placed between the fascicle of the lumbar multifidus muscle, the surgeon has visibility across the midline toward the contralateral facet joint.
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© Scott Bodell