Minimally invasive lateral transpsoas approach to the lumbar spine: pitfalls and complication avoidance

The lateral transpsoas approach to the lumbar spine has become an increasingly popular method to achieve fusion. Although this approach requires less tissue dissection, a smaller incision, decreased operative time, reduced blood loss and postoperative pain, and shorter hospital stay, it carries the...

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Bibliographic Details
Published in:	Neurosurgery clinics of North America Vol. 25; no. 2; pp. 219 - 231
Main Authors:	Graham, Randall B, Wong, Albert P, Liu, John C
Format:	Journal Article
Language:	English
Published:	United States 01-04-2014
Subjects:	Humans Lumbar Vertebrae - pathology Lumbar Vertebrae - surgery Minimally Invasive Surgical Procedures - methods Neurosurgical Procedures Postoperative Complications - prevention & control Postoperative Complications - surgery Spinal Fusion - methods Treatment Outcome Extreme lateral interbody fusion Lumbar spine Lumbosacral plexus Surgical complications Direct lateral interbody fusion Surgical technique Lateral transpsoas approach
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Summary:	The lateral transpsoas approach to the lumbar spine has become an increasingly popular method to achieve fusion. Although this approach requires less tissue dissection, a smaller incision, decreased operative time, reduced blood loss and postoperative pain, and shorter hospital stay, it carries the potential for serious neurologic and visceral complications. This article reviews these complications in detail and proposes mechanisms for their avoidance.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 ObjectType-Feature-1
ISSN:	1042-3680 1558-1349
DOI:	10.1016/j.nec.2013.12.002