How I do it: step-by-step BacJac™ posterior interspinous spacer placement

Acta Neurochir (Wien). 2020 Apr;162(4):937-941. doi: 10.1007/s00701-020-04240-w. Epub 2020 Jan 31.

Abstract

Background: BacJac™ is a posterior interspinous spacer for selected cases of degenerative lumbar spine diseases. It blocks the metameric vertebral segment in terminal extension, restoring foraminal heights.

Methods: The authors provide a detailed step-by-step description of the surgical technique, shedding light on surgical tips and pitfalls of this procedure. An accurate pre-operative patient selection is analyzed, defining meticulously surgical indications. A high-quality video of the surgical procedure is provided.

Conclusion: BacJac™ interspinous device allows a safe, mini-invasive, and effective treatment of selected cases of degenerative lumbar spine disease.

Keywords: Interspinous spacer; Lumbar instability; Minimally invasive spine surgery; Neurogenic claudication; Posterior distraction.

MeSH terms

  • Female
  • Humans
  • Lumbar Vertebrae / surgery
  • Male
  • Neurosurgical Procedures / adverse effects
  • Neurosurgical Procedures / instrumentation
  • Neurosurgical Procedures / methods*
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Prostheses and Implants
  • Spinal Stenosis / surgery*