Anterior and Lateral Approaches to the Lumbar Spine

Chapter
Part of the New Procedures in Spinal Interventional Neuroradiology book series (NPSIN)

Abstract

Anterior approaches to the lumbar spine are of great interest due to the ability to implant fusion constructs without interference from neural structures. Conventional anterior open approaches are however unappealing due to the potential for serious complications, including bowel and vascular injury. Lateral approaches have improved the risk profile, truly approaching the goal of minimally invasive. This chapter reviews the current open and minimally invasive approaches and introduces the newest fluoroscopic and computed tomographic image-guided advanced techniques for anterior lumbar spine fusion.

References

  1. 1.
    Dwyer AP, Elliot JP (2003) Anterior lumbar interbody fusion. In: Haher TR, Merola AA (eds) Surgical techniques for the spine. Thieme, New York, pp 237–241Google Scholar
  2. 2.
    Drazin D et al (2013) CT navigated lateral interbody fusion. J Clin Neurosci 20(10):1438–1441CrossRefGoogle Scholar
  3. 3.
    Aryan HE et al (2008) Percutaneous axial lumbar interbody fusion (AxiaLIF) of the L5-S1 segment: initial clinical and radiographic experience. Minim Invasive Neurosurg 51(4):225–230CrossRefGoogle Scholar
  4. 4.
    Taylor WR et al (2006) Extreme Lateral Interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J 6(4):435–443CrossRefGoogle Scholar
  5. 5.
    Caputo AM et al (2013) Extreme lateral interbody fusion for the treatment of adult degenerative scoliosis. J Clin Neurosci 20(11):1558–1563CrossRefGoogle Scholar
  6. 6.
    Dangelmajer S et al (2014) Minimally invasive spine surgery for adult degenerative lumbar scoliosis. Neurosurg Focus 36(5):E6CrossRefGoogle Scholar
  7. 7.
    Arnold PM et al (2012) The lateral transpsoas approach to the lumbar and thoracic spine: a review. Surg Neurol Int 3(Suppl 3):S198–S215CrossRefGoogle Scholar
  8. 8.
    Kim CW, Siemionow K, Anderson DG, Phillips FM (2011) The current state of minimally invasive spine surgery. J Bone Joint Surg Am 93:582–596PubMedPubMedCentralGoogle Scholar
  9. 9.
    Banagan KE, Ludwig SC (2011) Minimally invasive approaches for lateral lumbar interbody fusion. In: Wang WY, Anderson DG, Ludwig SC, Mummaneni PV (eds) Handbook of minimally invasive and percutaneous spine surgery. Quality Medical Publishing, St. Louis, pp 61–71Google Scholar
  10. 10.
    El Hawary Y, Chopko B, Georgy B, Taylor W (2014) Novel, minimally invasive technique for safe distraction and removal of the disk space through Kambin’s triangle. A cadaveric study and initial clinical experience. Society for Minimally Invasive Spine Surgery Annual Meeting, Miami, Sept 19–21Google Scholar
  11. 11.
    Meredith DS et al (2013) Extreme Lateral Interbody Fusion (XLIF) in the thoracic and thoracolumbar spine: technical report and early outcomes. HSS J 9(1):25–31CrossRefGoogle Scholar
  12. 12.
    Assina R et al (2014) First report of major vascular injury due to lateral transpsoas approach leading to fatality. J Neurosurg Spine 5:1–5Google Scholar
  13. 13.
    Grimm BD et al (2014) Postoperative complications within the first year after extreme lateral interbody fusion: experience of the first 108 patients. J Spinal Disord Tech, August 5, 2014. [Epub ahead of print 25099976]Google Scholar
  14. 14.
    Smith WD et al (2012) A comparison of perioperative charges and outcome between open and mini-open approaches for anterior lumbar discectomy and fusion. J Clin Neurosci 19(5):673–680CrossRefGoogle Scholar
  15. 15.
    Rodgers WB et al (2011) Intraoperative and early postoperative complications in extreme lateral interbody fusion: an analysis of 600 cases. Spine (Phila Pa 1976) 36(1):26–32CrossRefGoogle Scholar
  16. 16.
    Lee CS et al (2014) Mini-open approach for direct lateral lumbar interbody fusion. Asian Spine J 8(4):491–497CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of NeurosurgeryStanford UniversityHendersonUSA
  2. 2.Department of RadiologyUniversity of CaliforniaSan DiegoUSA

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