Lateral Fusion for Lumbar Spondylolisthesis.

Lateral lumbar interbody fusion with percutaneous posterior fixation provides a safe, effective, and reproducible approach for the treatment of lumbar spondylolisthesis, offering significant advantages in achieving neural decompression, spondylolisthesis reduction, and construct stability. Our approach emphasizes optimal rod contouring, controlled reduction mechanics, and strategic use of cement augmentation to maximize construct longevity. Despite inherent challenges, this technique demonstrates favorable outcomes in appropriately selected patients, supporting its continued use as a minimally invasive solution for spondylolisthesis management.