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Lateral MIS Surgery for Spinal Column Infections

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Lateral Access Minimally Invasive Spine Surgery

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Abstract

Surgical management of spinal infections is appropriate when medical management fails and in some cases with instability/deformity or neurological deficit. With the advent of minimally invasive spinal surgery, less invasive approaches have been considered for the treatment of spinal infections. The minimally invasive lateral retroperitoneal transpsoas approach, which is an alternative to the open anterior approach, has gained widespread attention for the surgical treatment of spinal infections. It allows for adequate debridement of the necrotic infected disc and vertebral body, along with anterior column reconstruction and vertebral stabilization, while with reasonable blood loss and minimal vascular retraction. Generally, this procedure results in a satisfactory clinical outcomes with thorough debridement and spinal reconstruction via a direct lateral retroperitoneal approach combined with lateral or posterior instrumentation. The midterm and long-term clinical outcomes and safety evaluation remain to be seen.

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Authors and Affiliations

  1. Department of Spine Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China

    Li-min Rong & Lei He

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  1. Li-min Rong
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  2. Lei He
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Correspondence to Li-min Rong .

Editor information

Editors and Affiliations

  1. University of Miami Neurological Surgery, Miami, Florida, USA

    Michael Y. Wang

  2. Spine Surgery, Weill Cornell Medical Center Hospital for Special Surgery, New York, New York, USA

    Andrew A. Sama

  3. Dept. of Neurosurgery, University of South Florida Tampa General Hospital, Tampa, Florida, USA

    Juan S. Uribe

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Rong, Lm., He, L. (2017). Lateral MIS Surgery for Spinal Column Infections. In: Wang, M., Sama, A., Uribe, J. (eds) Lateral Access Minimally Invasive Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-28320-3_23

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  • DOI: https://doi.org/10.1007/978-3-319-28320-3_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28318-0

  • Online ISBN: 978-3-319-28320-3

  • eBook Packages: MedicineMedicine (R0)

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