Anterior Retroperitoneal Spine Exposure

2020 ◽  
Author(s):  
Theodore H. Teruya ◽  
Ahmed M. Abou-Zamzam Jr
Keyword(s):  
Lumbar Spine ◽  
Key Words ◽  
General Surgery ◽  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
The Past ◽  
Surgical Exposure ◽  
Lower Lumbar ◽  
Total Disk Replacement

Anterior surgical exposure of the lumbar spine has been increasingly performed by general and vascular surgeons over the past decade. Owing to the predominance of spinal pathology at the lower lumbar levels and the spinal surgeons’ need for assistance, the “exposure surgeon” has emerged. The knowledge and expertise for performing the anterior exposures lie within general surgery. Manipulation of the ureter, aorta, and iliac vessels must be done with precision and is an excellent opportunity for surgeons to use their expertise to aid the spinal surgeon. This review covers the relevant aspects of anterior surgical exposure of the spine. This review contains 8 figures, and 39 references. Key words: anterior lumbar interbody fusion, anterior retroperitoneal spine exposure, extraperitoneal, retroperitoneal, spondylolisthesis, spondylosis, total disk replacement 

Lymphocele formation after anterior lumbar interbody fusion at L4–5

2007 ◽  
Vol 7 (5) ◽  
pp. 566-570 ◽  
Author(s):  
Yong Hun Pee ◽  
Ki Joon Kim ◽  
Young-Geun Choi ◽  
Sang Hyeop Jeon ◽  
Jong Dae Park ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Rare Complication ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Lumbar Spinal ◽  
Lower Lumbar

✓ In this report, the authors present the case of patient with a lymphocele in the retroperitoneal area following anterior lumbar interbody fusion at L4–5. A lymphocele is a rare complication of spinal operations, especially lower lumbar spinal surgeries. The authors discuss this complicating factor and describe its features and treatments.

scholarly journals Mini-open anterior lumbar interbody fusion

2016 ◽  
Vol 41 (videosuppl1) ◽  
pp. 1 ◽  
Author(s):  
Gurpreet S. Gandhoke ◽  
Christian Ricks ◽  
Zachary Tempel ◽  
Brian Zuckerbraun ◽  
D. Kojo Hamilton ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Pubic Symphysis ◽  
Anterior Lumbar Interbody Fusion ◽  
Sacral Slope ◽  
Lumbar Interbody Fusion ◽  
Disc Space ◽  
Lower Lumbar Spine ◽  
Great Vessels ◽  
Lower Lumbar ◽  
Mini Open

In deformity surgery, anterior lumbar interbody fusion provides excellent biomechanical support, creates a broad surface area for arthrodesis, and induces lordosis in the lower lumbar spine. Preoperative MRI, plain radiographs, and, when available, CT scan should be carefully assessed for sacral slope as it relates to pubic symphysis, position of the great vessels (especially at L4/5), disc space height, or contraindication to an anterior approach. This video demonstrates the steps in an anterior surgical procedure with minimal open exposure.The video can be found here: https://youtu.be/r3bC4_vu1hQ.

Stand-alone Anterior Lumbar Interbody Fusion for Degenerative Disc Disease of the Lumbar Spine

Spine ◽  
2014 ◽  
Vol 39 (15) ◽  
pp. E894-E901 ◽  
Author(s):  
John Lammli ◽  
M. Camden Whitaker ◽  
Alan Moskowitz ◽  
Jennifer Duong ◽  
Frank Dong ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disc Disease ◽  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Disc Disease ◽  
Degenerative Disc

Microsurgical Anterior Approaches to the Lumbar Spine for Interbody Fusion and Total Disc Replacement

Neurosurgery ◽  
2002 ◽  
Vol 51 (suppl_2) ◽  
pp. S2-159-S2-165 ◽  
Author(s):  
H. Michael Mayer ◽  
Karsten Wiechert
Keyword(s):  
Lumbar Spine ◽  
Anterior Approach ◽  
Interbody Fusion ◽  
Postoperative Morbidity ◽  
Total Disc Replacement ◽  
Anterior Lumbar Interbody Fusion ◽  
Disc Replacement ◽  
Lumbar Interbody Fusion ◽  
Anterior Interbody Fusion

Abstract OBJECTIVE Anterior approaches to the lumbar spine for the treatment of various degenerative or postoperative abnormalities associated with low back pain have always been a matter of debate. They are known to be associated with considerable surgical trauma, high postoperative morbidity, and, occasionally, unacceptably high complication rates. In 1997, we inaugurated two new microsurgical modifications of conventional anterior approach techniques, which have been applied in anterior lumbar interbody fusion and more recently in total disc replacement. This article describes the results of microsurgical anterior interbody fusion in a consecutive series of 171 patients as well as preliminary results of these techniques for total disc replacement in 26 patients. METHODS The approaches are performed with the use of a surgical microscope. Lumbar segments L2–L5 are exposed through a lateral retroperitoneal approach. L5–S1 can be reached through a midline retroperitoneal or transperitoneal approach. Both approaches can be performed through a limited skin incision of 4 cm. RESULTS An independent observer evaluated results of anterior lumbar interbody fusion in 171 patients during a 2-year follow-up period. The clinical follow-up demonstrated low perioperative and postoperative morbidity with an average blood loss of less than 100 ml at the fusion site. Pseudoarthrosis rates were less than 5%, and clinical results, as evaluated in accordance with the scoring system developed by Prolo et al., did not differ significantly from conventional open techniques. Total disc replacement through a microsurgical anterior approach seems to be a promising alternative to fusion procedures with even less intraoperative and perioperative morbidity. CONCLUSION Microsurgical anterior approaches to the lumbar spine provide a reasonable surgical alternative to conventional approaches for anterior interbody fusion and total disc replacement.

Finite Element Analysis of S1 Fracture Following Anterior Lumbar Interbody Fusion With Concomitant Bilateral Spondylolysis

2008 ◽  
Author(s):  
Ferris M. Pfeiffer ◽  
Dennis L. Abernathie ◽  
John D. Miles ◽  
Jeffery W. Parker
Keyword(s):  
Lumbar Spine ◽  
Interbody Fusion ◽  
Anterior Lumbar Interbody Fusion ◽  
Complete Loss ◽  
Lumbar Interbody Fusion ◽  
Loss Of Function ◽  
Disc Disease ◽  
Element Analysis ◽  
Cause Of Pain ◽  
Growth Abnormalities

Instability of the lumbar spine is a significant cause of pain and loss of function in the human population. There are a multitude of causes for a reduction or complete loss of stability of the lumbar spine. These causes include but are not limited to degenerative disc disease, spondylolysis, spondylolisthesis, genetic and growth abnormalities, and ligament laxity. Regardless of the cause, instability of the spine often leads to discomfort and loss of function. When conservative options have been exhausted, the surgeon in consultation with the patient may opt for surgical treatment of the unstable segment.

Revision surgery of the lumbar spine: anterior lumbar interbody fusion followed by percutaneous pedicle screw fixation

2006 ◽  
Vol 5 (3) ◽  
pp. 228-233 ◽  
Author(s):  
Sang-Ho Lee ◽  
Byung-Uk Kang ◽  
Sang Hyeop Jeon ◽  
Jong Dae Park ◽  
Dae Hyeon Maeng ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Revision Surgery ◽  
Interbody Fusion ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Anterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Percutaneous Pedicle Screw ◽  
The Mean ◽  
Percutaneous Pedicle Screw Fixation

Object The aim of this study was to evaluate the efficacy of anterior lumbar interbody fusion (ALIF) augmented by percutaneous pedicle screw fixation (PSF) for revision surgery in the lumbar spine and to determine the prognostic factors affecting surgical outcomes. Methods The population included 54 consecutively treated patients in whom revision surgery involving ALIF with PSF was performed between 2001 and 2004. There were 22 men and 32 women, whose mean age was 59.5 years (range 25–78 years). The diagnoses prior to revision ALIF were as follows: degenerative disc disease in 25 patients, instability/spondylolisthesis in 15, recurrent disc herniation in seven, and pseudarthrosis in seven. The mean follow-up period was 24 months (range 12–52 months). The mean visual analog scale score for back and leg pain decreased, respectively, from 7.8 to 2.3 and 8.0 to 2.3 (p < 0.001). The mean Oswestry Disability Index score improved from 70 to 25% (p < 0.001). Radiological evidence of fusion was noted in 52 of 54 patients. The mean preoperative segmental lordosis, whole lumbar lordosis, and sacral tilt were 15.2, 35.5, and 28.3°, respectively; these values were significantly increased to 20.4, 40.7, and 31.4°, respectively, after revision surgery (p < 0.001). The increase in sacral tilt was positively correlated with improvement in back pain (p = 0.028) and functional status (p = 0.025). Conclusions The results demonstrate that ALIF followed by PSF can be an effective alternative in revision surgery of the lumbosacral spine in selected cases. Not only can solid fusion be achieved, sagittal alignment can also be restored in the majority of patients.

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