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Spine Surgery - L4-5 and L5-6 (Anomaly) Anterior and Posterior 360 Degree Spinal Fusion.  Anterior Fusion Surgery: A. Transabdominal approach to expose the lumbosacral spine, B. Discectomy (Diskectomy) at L4-5 and L5-6 (Anomaly), C. Interbody fusion with left iliac crest bone graft.  Posterior Fusion Surgery: D, Incision exposing the spine, E. Laminectomy and discectomies, F. Stabilization with pedicle screws, plates and bone graft.