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Access to the Lumbosacral Spine: A Current View – Lumbar Spinal Stenosis

The article discusses the evolution of surgical approaches to the lumbosacral spine, highlighting the various access routes available for different procedures such as decompression, fusion, tumor resections, reconstruction, and deformity correction. The advancements in asepsis and antibiotic therapy in the 20th century accelerated the development of spine surgery, leading to a variety of access options including posterior, anterior, oblique, lateral, and endoscopic approaches. The objective of the article is to provide state-of-the-art information on accessing the lumbar spine for a range of purposes, regardless of the type of implants or their positioning. The study emphasizes the importance of understanding and utilizing these access routes to achieve optimal surgical outcomes

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated day surgery unit in UK

Published article

The surgical approach to the lumbosacral spine has been the subject of experimental and scientific anatomical studies since the Hippocratic era. However, it was in the 20th century that, with the evolution of asepsis and antibiotic therapy, spine surgery began to evolve at breakneck speed, and the various possibilities of access roads became objects of development and discussion. As a result, pathologies of the lumbosacral spine can be accessed in different ways and positions, from the…

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Rev Bras Ortop (Sao Paulo). 2024 Apr 10;59(2):e153-e159. doi: 10.1055/s-0044-1785462. eCollection 2024 Apr. ABSTRACT The surgical approach to the lumbosacral spine has been the subject of experimental and scientific anatomical studies since the Hippocratic era. However, it was in the 20th century that, with the evolution of asepsis and antibiotic therapy, spine surgery began to,

Rev Bras Ortop (Sao Paulo). 2024 Apr 10;59(2):e153-e159. doi: 10.1055/s-0044-1785462. eCollection 2024 Apr.

ABSTRACT

The surgical approach to the lumbosacral spine has been the subject of experimental and scientific anatomical studies since the Hippocratic era. However, it was in the 20th century that, with the evolution of asepsis and antibiotic therapy, spine surgery began to evolve at breakneck speed, and the various possibilities of access roads became objects of development and discussion. As a result, pathologies of the lumbosacral spine can be accessed in different ways and positions, from the traditional posterior approach in the prone position to the anterior, oblique, lateral, and endoscopic approaches. The current article brings state-of-the-art access routes to the lumbosacral spine. This article objective is to elucidate the possibilities of accesses the lumbar spine for any purposes, as decompression, fusion, tumour resections, reconstruction or deformity correction, despites type of implants or implants positioning.

PMID:38606134 | PMC:PMC11006527 | DOI:10.1055/s-0044-1785462

The London Spine Unit : the highest rated day surgery unit in UK

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Access to the Lumbosacral Spine: A Current View

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Rev Bras Ortop (Sao Paulo). 2024 Apr 10;59(2):e153-e159. doi: 10.1055/s-0044-1785462. eCollection 2024 Apr. ABSTRACT The surgical approach to the lumbosacral spine has been the subject of experimental and scientific anatomical studies since the Hippocratic era. However, it was in the 20th century that, with the evolution of asepsis and antibiotic therapy, spine surgery began to
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