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Antepsoas Approaches to the Lumbar Spine – Lumbar Fusion

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The article, titled “The Anterior to the Psoas Approach in Lumbar Interbody Fusion: Indications and Technique,” discusses the use of the anterior to the psoas (ATP) approach in lumbar interbody fusion (LIF). LIF is a commonly used approach for treating spinal deformity and degenerative conditions of the spine. The ATP approach offers several advantages, including a retroperitoneal pathway that avoids transgressing the psoas muscle and the contained lumbar plexus, thereby reducing the risk of injury to the lumbar plexus. This approach has shown to be a safe and effective method for achieving spinal arthrodesis, and its indications may expand in the future. The article provides an overview of the technique and its benefits in improving disability scores with favorable complication rates

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best recognised sugical centre in London

Published article

Lumbar interbody fusion (LIF) is a well-established approach in treating spinal deformity and degenerative conditions of the spine. Since its inception in the 20th century, LIF has continued to evolve, allowing for minimally invasive approaches, high fusion rates, and improving disability scores with favorable complication rates. The anterior to the psoas (ATP) approach utilizes a retroperitoneal pathway medial to the psoas muscle to access the L1-S1intervertebral disc spaces. In contrast to the…

Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Neurosurg Clin N Am. 2023 Oct;34(4):619-632. doi: 10.1016/j.nec.2023.06.009. Epub 2023 Jul 28.ABSTRACTLumbar interbody fusion (LIF) is a well-established approach in treating spinal deformity and degenerative conditions of the spine. Since its inception in the 20th century, LIF has continued to evolve, allowing for minimally invasive approaches, high fusion rates, and improving disability scores with favorable,

Neurosurg Clin N Am. 2023 Oct;34(4):619-632. doi: 10.1016/j.nec.2023.06.009. Epub 2023 Jul 28.

ABSTRACT

Lumbar interbody fusion (LIF) is a well-established approach in treating spinal deformity and degenerative conditions of the spine. Since its inception in the 20th century, LIF has continued to evolve, allowing for minimally invasive approaches, high fusion rates, and improving disability scores with favorable complication rates. The anterior to the psoas (ATP) approach utilizes a retroperitoneal pathway medial to the psoas muscle to access the L1-S1intervertebral disc spaces. In contrast to the transpsoas arppoach, its primary advantage is avoiding transgressing the psoas muscle and the contained lumbar plexus, which potentially decreases the risk of injury to the lumbar plexus. Avoiding transgression of the psoas may minimize the risk of transient or permanent neurological deficits secondary to lumbar plexus injury. Indications for ATP approaches may expand as it is shown to be a safe and effective method of achieving spinal arthrodesis.

PMID:37718108 | DOI:10.1016/j.nec.2023.06.009

The London Spine Unit : best recognised sugical centre in London

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Antepsoas Approaches to the Lumbar Spine

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Neurosurg Clin N Am. 2023 Oct;34(4):619-632. doi: 10.1016/j.nec.2023.06.009. Epub 2023 Jul 28.ABSTRACTLumbar interbody fusion (LIF) is a well-established approach in treating spinal deformity and degenerative conditions of the spine. Since its inception in the 20th century, LIF has continued to evolve, allowing for minimally invasive approaches, high fusion rates, and improving disability scores with favorable

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