Miniopen pedicle subtraction osteotomy: surgical technique and initial results.

As minimally invasive surgery (MIS) has advanced to treat diverse diseases, there has been an increasing need for MIS surgery to be able to restore lumbar lordosis and treat sagittal balance abnormalities. In this article, the surgical technique and initial clinical and radiographic outcomes with a new miniopen pedicle subtraction osteotomy technique are outlined. Combining the MIS techniques of interbody fusion, percutaneous screw fixation, and facet fusion with a selective opening for the osteotomy site allows for safe and efficient deformity corrections. This technique resulted in an average increase of 29.2° of lumbar lordosis (range 17°-44°).