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Low Back Surgery - L4-5 Anterior Lumbar Spinal Fusion. This medical illustration series pictures the following: 1. Incision into the low abdomen anteriorly, 2. Deep dissection with exposure of the anterior lumbosacral spine, and 3. Placement of collagen sponge cages at L4-5 bilaterally for fusion of the spine. Labels have intentionally been left off of this exhibit for varied use.