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The Role of Anterior Spine Surgery in Deformity Correction. | LitMetric

The Role of Anterior Spine Surgery in Deformity Correction.

Neurosurg Clin N Am

Norton Leatherman Spine Center, 210 East Gray Street, Suite 900, Louisville, KY 40202, USA; Department of Orthopaedic Surgery, University of Louisville School of Medicine, 550 S. Jackson St., 1st Floor ACB, Louisville, KY 40202, USA.

Published: October 2023

AI Article Synopsis

  • * These techniques provide access to different vertebral levels, such as transperitoneal, paramedian anterior retroperitoneal, oblique retroperitoneal, thoracolumbar transdiaphragmatic, and thoracotomy approaches.
  • * The lumbar and lumbosacral regions are ideal for these approaches due to the movement of peritoneal organs and the arrangement of blood vessels in that area.

Article Abstract

There are a range of anterior-based approaches to address flexible adult spinal deformity from the thoracic spine to the sacrum, with each approach offering access to a range of vertebral levels. It includes the transperitoneal (L5-S1), paramedian anterior retroperitoneal (L3-S1), oblique retroperitoneal (L1-2 to L5-S1), the thoracolumbar transdiaphragmatic approach (T9-10 to L4-5), and thoracotomy approach (T4-T12). The lumbar and lumbosacral spine is especially favorable for anterior-based approaches given the relative mobility of the peritoneal organs and position of the vasculature.

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Source
http://dx.doi.org/10.1016/j.nec.2023.06.005DOI Listing

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