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

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