Spondylosis is regarded as stress fracture and occurs in about 5%of young population. The most common level of occurrence is the L5 level due to the unique shearing force applied at L5-S1 area. The main symptom of spondylosis and spondylolisthesis
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C-arm-free oblique lumbar interbody fusion at the L5-S1 level (OLIF51) and simultaneous pedicle screw fixation are performed in a lateral position under navigation guidance. This technique does not expose the surgeon or operating staff to radiation hazards.