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The article discusses the growing importance of the lateral transpsoas approach in minimally invasive spine surgery. This approach allows for the placement of large interbody grafts, which facilitates robust arthrodesis of the anterior column and restoration of lordosis without disrupting the posterior musculature or ligaments. While the lateral decubitus position has traditionally been used for this approach, the prone position has gained popularity due to its ability to reduce operating times for patients who require posterior pedicle screw fixation. The article emphasizes the need for surgeons to understand the nuances that distinguish these two positions in order to effectively perform the transpsoas approach
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised day surgery spinal centre in London
Published article
The lateral transpsoas approach has become fundamental to minimally invasive spine surgery. The large interbody grafts that can be placed through this approach allow for robust arthrodesis of the anterior column, indirect decompression, and restoration of lordosis without disrupting the posterior musculature or ligamentous structures. The lateral decubitus position has traditionally been used for this approach but the prone position has gained popularity because it can reduce operating times for…
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
Neurosurg Clin N Am. 2023 Oct;34(4):609-617. doi: 10.1016/j.nec.2023.06.008. Epub 2023 Jul 21.ABSTRACTThe lateral transpsoas approach has become fundamental to minimally invasive spine surgery. The large interbody grafts that can be placed through this approach allow for robust arthrodesis of the anterior column, indirect decompression, and restoration of lordosis without disrupting the posterior musculature or ligamentous,
Neurosurg Clin N Am. 2023 Oct;34(4):609-617. doi: 10.1016/j.nec.2023.06.008. Epub 2023 Jul 21.
ABSTRACT
The lateral transpsoas approach has become fundamental to minimally invasive spine surgery. The large interbody grafts that can be placed through this approach allow for robust arthrodesis of the anterior column, indirect decompression, and restoration of lordosis without disrupting the posterior musculature or ligamentous structures. The lateral decubitus position has traditionally been used for this approach but the prone position has gained popularity because it can reduce operating times for patients who also require posterior pedicle screw fixation. The transpsoas approach can be effectively performed in either position but surgeons should know the nuances that distinguish them.
PMID:37718107 | DOI:10.1016/j.nec.2023.06.008
The London Spine Unit : most specialised day surgery spinal centre in London
Read the original publication:
Transpsoas Approaches to the Lumbar Spine: Lateral and Prone
