Skip to main content

Lumbar Retroperitoneal Transpsoas Corpectomy

  • Chapter
  • First Online:
Minimally Invasive Spine Surgery Techniques

Abstract

The lumbar retroperitoneal transpsoas corpectomy technique is probably the most difficult minimally invasive technique to learn. The approach is similar to the discectomy technique, but has to be extended to span the two discs, above and below the pathologic vertebral body. Supplemental fixation with either a lateral plate or posterior pedicle screws is recommended.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chou D, Lu DC. Mini-open transpedicular corpectomies with expandable cage reconstruction. Technical note. J Neurosurg Spine. 2011;14:71–7. https://doi.org/10.3171/2010.10.spine091009.

    Article  PubMed  Google Scholar 

  2. Lu DC, Lau D, Lee JG, Chou D. The transpedicular approach compared with the anterior approach: an analysis of 80 thoracolumbar corpectomies. J Neurosurgery Spine. 2010;12:583–91. https://doi.org/10.3171/2010.1.spine09292.

    Article  Google Scholar 

  3. Smith ZA, Li Z, Chen NF, Raphael D, Khoo LT. Minimally invasive lateral extracavitary corpectomy: cadaveric evaluation model and report of 3 clinical cases. J Neurosurgery Spine. 2012;16:463–70. https://doi.org/10.3171/2012.2.SPINE11128.

    Article  Google Scholar 

  4. Baaj AA, et al. Complications of the mini-open anterolateral approach to the thoracolumbar spine. J Clini Neurosci. 2012;19:1265–7. https://doi.org/10.1016/j.jocn.2012.01.026.

    Article  Google Scholar 

  5. Uribe JS, Dakwar E, Cardona RF, Vale FL. Minimally invasive lateral retropleural thoracolumbar approach: cadaveric feasibility study and report of 4 clinical cases. Neurosurgery. 2011;68:32–9; discussion 39. https://doi.org/10.1227/NEU.0b013e318207b6cb.

    PubMed  Google Scholar 

  6. Rihn JA, et al. A review of the TLICS system: a novel, user-friendly thoracolumbar trauma classification system. Acta Orthop. 2008;79:461–6. https://doi.org/10.1080/17453670710015436.

    Article  PubMed  Google Scholar 

  7. Vaccaro AR, et al. The thoracolumbar injury severity score: a proposed treatment algorithm. J Spinal Disord Tech. 2005;18:209–15.

    PubMed  Google Scholar 

  8. Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme lateral interbody fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6:435–43. https://doi.org/10.1016/j.spinee.2005.08.012.

    Article  PubMed  Google Scholar 

  9. Tender GC, Serban D. Genitofemoral nerve protection during the lateral retroperitoneal transpsoas approach. Neurosurgery. 2013;73:192–6; discussion 196-197. https://doi.org/10.1227/01.neu.0000431473.49042.95.

    Article  Google Scholar 

  10. Pekmezci M, et al. Can a novel rectangular footplate provide higher resistance to subsidence than circular footplates? An ex vivo biomechanical study. Spine. 2012;37:E1177–81. https://doi.org/10.1097/BRS.0b013e3182647c0b.

    Article  PubMed  Google Scholar 

  11. Guerin P, et al. The lumbosacral plexus: anatomic considerations for minimally invasive retroperitoneal transpsoas approach. Surg Radiol Anat. 2012;34:151–7. https://doi.org/10.1007/s00276-011-0881-z.

    Article  PubMed  Google Scholar 

  12. Pekmezci M, et al. Comparison of expandable and fixed interbody cages in a human cadaver corpectomy model, part I: endplate force characteristics. J Neurosurg Spine. 2012;17:321–6. https://doi.org/10.3171/2012.7.spine12171.

    Article  PubMed  Google Scholar 

  13. Ahmadian A, Deukmedjian AR, Abel N, Dakwar E, Uribe JS. Analysis of lumbar plexopathies and nerve injury after lateral retroperitoneal transpsoas approach: diagnostic standardization. J Neurosurg Spine. 2012. https://doi.org/10.3171/2012.11.SPINE12755.

  14. Banagan K, Gelb D, Poelstra K, Ludwig S. Anatomic mapping of lumbar nerve roots during a direct lateral transpsoas approach to the spine: a cadaveric study. Spine. 2011;36:E687–91. https://doi.org/10.1097/BRS.0b013e3181ec5911.

    Article  PubMed  Google Scholar 

  15. Benglis DM, Vanni S, Levi AD. An anatomical study of the lumbosacral plexus as related to the minimally invasive transpsoas approach to the lumbar spine. J Neurosurg Spine. 2009;10:139–44. https://doi.org/10.3171/2008.10.SPI08479.

    Article  PubMed  Google Scholar 

  16. Dakwar E, Ahmadian A, Uribe JS. The anatomical relationship of the diaphragm to the thoracolumbar junction during the minimally invasive lateral extracoelomic (retropleural/retroperitoneal) approach. J Neurosurg Spine. 2012;16:359–64. https://doi.org/10.3171/2011.12.SPINE11626.

    Article  PubMed  Google Scholar 

  17. Kepler CK, Bogner EA, Herzog RJ, Huang RC. Anatomy of the psoas muscle and lumbar plexus with respect to the surgical approach for lateral transpsoas interbody fusion. Eur Spine J. 2011;20:550–6. https://doi.org/10.1007/s00586-010-1593-5.

    Article  PubMed  Google Scholar 

  18. Lu S, et al. Clinical anatomy and 3D virtual reconstruction of the lumbar plexus with respect to lumbar surgery. BMC Musculoskelet Disord. 2011;12:76. https://doi.org/10.1186/1471-2474-12-76.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Uribe JS, Arredondo N, Dakwar E, Vale FL. Defining the safe working zones using the minimally invasive lateral retroperitoneal transpsoas approach: an anatomical study. J Neurosurg Spine. 2010;13:260–6. https://doi.org/10.3171/2010.3.SPINE09766.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Electronic Supplementary Material

L4 corpectomy in a patient with L2 and L4 fractures. The L2 fracture was treated conservatively (MP4 39663 kb)

L4 corpectomy with abdominal wall muscles dissection (MP4 43712 kb)

L1 corpectomy (MP4 82643 kb)

L3 corpectomy. The posterior pedicle screws were already placed during a previous operation (MP4 23730 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tender, G., Sure, D.R., Badr, Y., Digiorgio, A., Crutcher, C. (2018). Lumbar Retroperitoneal Transpsoas Corpectomy. In: Tender, G. (eds) Minimally Invasive Spine Surgery Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-71943-6_13

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71943-6_13

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71942-9

  • Online ISBN: 978-3-319-71943-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics