MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS.
Acta Ortop Bras. 2018 Could-Jun;26(three):191-193
Authors: Machado LCC, Narazaki DK, Teixeira WGJ, Cristante AF, Teixeira MJ, Barros TEP
Introduction: The intense lateral method has been extensively used for the remedy of degenerative ailments. The target of this research is to current a minimally invasive excessive lateral method for the remedy of metastatic lesions within the lumbar backbone with out using the evoked potential examination (MEP).
Strategies: Two sufferers with spinal metastases and indication for surgical procedure by way of the anterior method have been handled in a most cancers referral heart in Brazil. They have been positioned in proper lateral decubitus, and an indirect incision was made, exposing the psoas muscle. The anterior method permitted the discharge of the psoas muscle from vertebral physique and disc, with out the necessity for MEP.
Conclusions: When most cancers treatment is not attainable, a minimally invasive excessive lateral method to deal with tumor metastases within the lumbar backbone is a viable choice, with quick hospitalization time and low morbidity. The dislocation of the psoas muscle avoids using the transpsoas method, which requires MEP tools and a educated doctor. Scientific research are wanted to increase these advantages to oncological sufferers who’ve remedy choices for his or her main illness. Degree of Proof IV; Case sequence.
PMID: 30038545 [PubMed]