Publication date: Available online 26 July 2018
Source: Seminars in Spine Surgery
Author(s): Chadi Tannoury, Tony Tannoury
ABSTRACT
Corrective multilevel spinal surgeries are notorious for high complication rate. In effort to reduce morbidities, various minimally invasive surgical techniques have been described. Posterior interbody fusions, while familiar to most surgeons, are limited in their ability to address multilevel pathology. Contrastingly, anterior lumbar fusion is effective in correcting multilevel deformities, yet it is notorious for vascular injuries and often warrants the assistance of an exposure surgeon. Moreover, the attractive lateral transpsoas approach has been associated with catastrophic neurovascular and visceral complications. Therefore, a novel retroperitoneal anterolateral psoas sparing access will be presented as a promising alternative to the preexisting techniques.
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