An improved method and instrumentation for performing spinal surgery,
including discectomy, interbody fusion and rigid internal fixation of the
spine, from the lateral aspect of the spine is disclosed. The surgical
procedure can be performed through a very small incision. The
instrumentation of the present invention, all of which is inserted from a
lateral position into the spine in the preferred embodiment, comprises a
guide pin, a distractor, an extended outer sleeve, an inner sleeve an
adjustable drill and an implant driver. The distractor of the present
invention is driven into the disc for spacing apart and realigning the
adjacent vertebrae. It further functions as an alignment rod for
inserting the extended outer sleeve which is a hollow tubular member
capable of maintaining said spacing and alignment of two adjacent
vertebrae and defines a protected space through which subsequent
instruments which may include, but are not limited to, a drill and a
diameter reducing inner sleeve may be passed, as well as a spinal
implant. The remainder of the surgical procedure consisting of the
removal of spinal material across the disc, fusion, and rigid internal
stabilization via the implant may all be performed via the closed space
within the extended outer sleeve.