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Though Wiltse developed the paraspinal muscle-splitting approach to the spine, the exact location of where and how to split the paraspinal musculature when performing this approach remains unclear. This type of approach may be particularly useful for posterior nonfusion stabilization as significantly less damage occurs with this approach than with a muscle-stripping approach.

the international journal of spine surgery

Modified Muscle-Sparing Paraspinal Approach for Stabilization and Interlaminar Decompression: A Minimally Invasive Technique for Pedicle Screw-Based Posterior Nonfusion Stabilization