This graphic includes six medical illustrations for a lumbar spinal surgery to fix a spondylolisthesis (anterolisthesis) of L5-S1 with associated disc injuries at L4-5 and L5-S1.  The primary image demonstrates a lateral view of the lumbar and sacral areas. Image 1 demonstrates an incision made at L3-S1. Image 2 demonstrates a two level laminectomy in the lumbar spine.  Image 3 demonstrates a two level discectomy. Image 4 demonstrates placement of Capstone spacers. Image 5 demonstrates placement of rods, screws and gelfoam.

This graphic is best used for demand letters/narrative reports, mediation, arbitration or trial in cases involving multiple surgical procedures in the lumbar spine after trauma.

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