Search Results

You are looking at 1 - 10 of 153 items for :

  • "transpsoas approach" x
Clear All
Restricted access

John K. Houten, Lucien C. Alexandre, Rani Nasser and Adam L. Wollowick

A lateral , transpsoas approach to achieve interbody fusion in the lumbar spine using either the XLIF or DLIF technique is an increasingly popular method to treat spinal degenerative disease. Purported advantages of this approach include avoidance of intrusion into the spinal canal, diminished blood loss, more rapid postoperative mobilization, and the ability to place a larger interbody implant to facilitate distraction and maximize the likelihood of successful fusion. 20 Dissection and dilation through the iliopsoas muscle places the lumbosacral plexus

Full access

David J. Moller, Nicholas P. Slimack, Frank L. Acosta Jr., Tyler R. Koski, Richard G. Fessler and John C. Liu

laparoscopic lumbar discectomy. Since that time, the art of minimally invasive spine surgery has become more refined and more popular. 23 The advantages include less tissue disruption, less postoperative pain, shorter hospital stays, and faster return to normal activities. 19 , 20 The aim of this study is to evaluate the morbidity of the transpsoas approach. This approach differs from the previous retroperitoneal approaches in that the access to the spine is directly through the iliopsoas muscle via a much shorter incision, versus a larger exposure and subsequent

Restricted access

Elias Dakwar, Fernando L. Vale and Juan S. Uribe

T he minimally invasive lateral retroperitoneal transpsoas approach was first described by Ozgur et al. 15 and is increasingly being used to treat common spinal disorders including degenerative disc disease, spondylolisthesis, traumatic injuries, and spinal deformity. Although the minimally invasive lateral retroperitoneal transpsoas approach avoids many of the disadvantages of the anterior and posterior approaches, it has certain limitations and disadvantages of its own. One of the main limitations is the proximity of the lumbar plexus to the surgical

Restricted access

Neel Anand and Eli M. Baron

T he transpsoas approach has gained popularity for achieving discectomy and fusion in the lumbar spine. It allows for anterior access to the disc space while avoiding potential complications associated with transperitoneal approaches or retraction of the peritoneum. Additionally, the great vessels are not mobilized and an access surgeon is not required. 25 Nevertheless, the transpsoas approach is not without potential complications. Surgical complications reported include thigh pain, dysesthesias, sensory deficits, ileus, bowel injury, vascular injury

Full access

Alexander A. Theologis, Ehsan Tabaraee, Paul Toogood, Abbey Kennedy, Harjus Birk, R. Trigg McClellan and Murat Pekmezci

T raditional open anterior approaches to the lumbar spine are associated with significant morbidity. 12 Complications associated with open anterior approaches include major vascular injury, pulmonary embolism, postoperative ileus, retrograde ejaculation, incisional hernias, and superficial and deep wound infections. 12 Thus, the use of less-invasive and alternative anterior approaches to the lumbar spine has gained popularity. Ozgur et al. First described the effectiveness and safety of the mini-open, extreme lateral, transpsoas approach for access to

Restricted access

Kevin S. Cahill, Joseph L. Martinez, Michael Y. Wang, Steven Vanni and Allan D. Levi

S ince its initial description in 2006, the lateral interbody fusion technique has been used in the treatment of a variety of pathological conditions of the lumbar spine. 13 As this minimally invasive transpsoas approach has gained more widespread acceptance and increased utilization, recent interest has focused on understanding the morbidity and complication profile of the procedure. Estimates of postoperative morbidity related to psoas muscle manipulation and sensory nerve injury have varied, but it is now widely accepted that a significant percentage

Restricted access

Tien V. Le, Donald A. Smith, Mark S. Greenberg, Elias Dakwar, Ali A. Baaj and Juan S. Uribe

M inimally invasive lateral interbody fusion is a technique that can be used safely and effectively for thoracolumbar interbody fusions. 15 , 17 A retroperitoneal transpsoas approach is used for lumbar fusions, and a retropleural or transpleural approach can be used for thoracic fusions. A lateral plate ( Fig. 1 ), which spans the disc space, has been commonly used as a supplement to the large interbody cage that is placed intraoperatively. The titanium plate has a rostral and a caudal screw hole, and it is available in varying lengths. It is seated on

Restricted access

Ricky Madhok and Adam S. Kanter

transmuscular techniques through tubular retractors. 4 , 10 , 11 These recent techniques have focused on treatment of this entity through a posterior approach. In this report we present the clinical, radiographic, and operative treatment of far-lateral disc herniations through an entirely lateral, minimally invasive, retroperitoneal, transpsoas approach. Case Reports History and Presentation Case 1 involved a 53-yearold man who suffered from severe right-back, proximal leg, and groin pain. The pain was associated with progressive radicular numbness and tingling

Full access

Elias Dakwar, Rafael F. Cardona, Donald A. Smith and Juan S. Uribe

surgery are to obtain sagittal and coronal balance, pain relief, and solid fusion. 4 , 14 In many cases, these patients require treatment strategies that address both the anterior and posterior columns. An interbody graft placement allows for restoration of anterior column height, arthrodesis, and correction of the deformity. Anterior column support, by way of interbody graft placement, can be achieved using an anterior, posterior, or lateral approach. The minimally invasive, lateral retroperitoneal transpsoas approach allows for interbody graft placement and anterior

Restricted access

Ricardo B. V. Fontes and Vincent C. Traynelis

prior to surgery, a score of 3 indicates antigravity function only. This represents significant weakness, which certainly would adversely impact ambulation. The role of minimally invasive transpsoas interbody fusion is evolving. The transpsoas approach has many positive attributes, but these come at a price. The lumbosacral plexus is at risk, particularly at the L4–5 level and the dissection is directly through an extremity muscle. How many patients suffer nerve dysfunction or extremity weakness, albeit temporary, from the standard posterior exposure? Cummock et al