With the use of an in vivo porcine training model we established the transperitoneal laparoscopic approach for the instrumentation of anterior lumbar spine fusion with Bagby-and-Kuslich (BAK) interbody implants as well as "Brantigan" cages. The transperitoneal laparoscopic approach caudally from the aortic bifurcation allows the spine fusion procedure of the caudal but not of the cranial part of the lumbar spine. Because ventral stabilization of the upper lumbar spine is frequently necessary, in particular in trauma patients with spine body fractures, an additional retroperitoneal minimal-invasive (lumboscopic) approach was established using again the in vivo porcine training model. We demonstrate that via this approach spine fusion can easily be performed including the Th12 segment after fenestration of the diaphragm. With the experience from the in vivo experiments, both techniques could safely and successfully be transferred to clinical practice with the advantage of markedly reducing the extent of operative trauma compared with the corresponding open approaches.

Download full-text PDF

Source

Publication Analysis

Top Keywords

lumbar spine
12
spine fusion
12
vivo porcine
8
porcine training
8
training model
8
transperitoneal laparoscopic
8
laparoscopic approach
8
spine
7
[laparoscopic-transperitoneal lumboscopic-retroperitoneal
4
lumboscopic-retroperitoneal surgery
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!