0:00

Prone positioning

0:13

Mildline posterior incision

0:20

Superficial dissection

0:28

Deep dissection

0:42

Remove old instrumentation

1:49

Expose for adjacent fusion

2:07

Remove spinous process

2:13

Decorticate facets

2:50

Complete laminectomy

3:08

Remove ligamentum flavum

4:03

Place lamina spreader

4:09

Place D'Errico retractor

4:16

Incise disk annulus

4:25

Remove disk

4:46

Trial spacer

4:54

Pack bone graft

5:03

Place cage

5:33

Place screws in old holes

6:00

Place new pedicle screws

6:47

Place rods

7:25

Place bone graft

7:43

Absorbable hemostat and drain

7:52

Closure