The History of Anterior and Lateral Approaches to the Lumbar Spine

Matur, Abhijith V.; Mejia-Munne, Juan C.; Plummer, Zachary J; Cheng, Joseph; Prestigiacomo, Charles J.

doi:10.1016/j.wneu.2020.09.083

Cited by 20 publications

(11 citation statements)

References 37 publications

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“…Refinements to the traditional larger open procedures in form of a MI-ALIF was then published in 1997 by Mayer. [16][17][18][19][20][21][22][23][24][25] In comparison to the published complication rates of those fusions procedures we found no substantive differences to the complication rates we encountered with the staged combined far lateral and open posterior approach utilized in our large single institution case series. 7,11,[26][27][28][29][30][31] According to our data perioperative bleeding occurred with an incidence of 4% most frequently among approach-related complications and was rated as significant when it exceeded 500cc.…”

Section: Discussioncontrasting

confidence: 61%

Towards a More Realistic Appraisal of Complications Following Staged Lateral Lumbar Interbody Fusion: A Single Institution Series

Godolias

Frieler

Tataryn

et al. 2022

Global Spine Journal

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Study Design Retrospective cohort study. Objectives With steadily increasing implementation of far lateral approaches in spine surgery, surgeons can utilize the advantages of different approaches synergistically to ensure an optimal patient outcome. Our single institution study aimed to assess the complication rates of patients who underwent a lateral interbody fusion as the index procedure and additional anterior or posterior instrumentation as part of a planned staged surgical reconstruction effort. Methods This study was approved by our institutional review board (STUDY2021000113). We included 576 patients who received a lateral lumbar interbody fusion (LLIF) as the index procedure followed by transforaminal lumbar interbody fusion (TLIF), posterior lumbar interbody fusion (PLIF) or anterior lumbar interbody fusion (ALIF) between 2016 and 2020. Primary outcomes were complications identified during the initial inpatient stay, which were categorized into approach-related and secondary complications. Secondary outcomes tracked up to 6 years post-surgery. Results The overall complication rate was 19.2% (10.5% approach related, 8.7% secondary complications). Significant intraoperative hemorrhage (mean 659.3 mL vs 131.4 mL, P < .01) was the most common approach related complication with an incidence of 4%, followed by temporary hip flexor weakness in 2.6%. A permanent (femoral) nerve damage was verified in 1 patient. The most common secondary complication was impaired wound healing in 12 patients (2.1%). We identified a 7.1% (41 of 576 patients) rate of revision surgery, on average after 372 days (±34 days). Conclusions We recorded an overall complication rate of 19.2% for staged adult deformity corrective surgeries utilizing far lateral interbody fusions at several lumbar levels followed by a more comprehensive posterior surgical reconstruction.

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Section: Discussioncontrasting

confidence: 61%

Towards a More Realistic Appraisal of Complications Following Staged Lateral Lumbar Interbody Fusion: A Single Institution Series

Godolias

Frieler

Tataryn

et al. 2022

Global Spine Journal

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“…While lumbar and cervical spine pathologies can be treated by defined and straightforward approaches, approaches for the thoracic spine, particularly the upper thoracic spine, are debated. Many approaches have been described in the literature, including both anterior and posterior routes [ 17 ]. The posterior transpedicular approach or laminectomy has limited access and does not allow direct visualization of ventral lesions [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

The Transaxillary Approach as a Direct Route in the Management of Upper Thoracic Spine Pathology: A Technical Note with Case Series

Ifthekar,

Seuk,

Hwang

et al. 2024

Asian Spine J

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This retrospective case series of prospective data aims to describe the transaxillary approach for the treatment of upper thoracic spine pathology. Various surgical techniques and approaches have been reported across the literature to address upper thoracic spine pathology, including the cervicothoracic approach, anterior transsternal approach, posterolateral approach, supraclavicular approach, and lateral parascapular approaches. These techniques are invasive. A minimally invasive, less morbid, and direct access approach to the pathology of the upper thoracic spine has not been reported in the literature. Patients with pathology affecting the first thoracic vertebra up to the sixth thoracic vertebra were classified into the upper thoracic spine group. Patients with pathology below the sixth thoracic vertebra were excluded. Patients not having a minimum follow-up of 12 months were also excluded. The study analyzed 18 patients. The mean preoperative modified Japanese Orthopedic Association score was 7.2±1.44, which improved to 10.16±1.2 (p<0.05). The majority (14/18) of the patients had an excellent outcome. Three patients had good outcomes, and one patient had a fair outcome. Five cases of intraoperative dural leak were recorded, and one patient had postoperative neurological deficit. The transaxillary approach is a safe, viable, muscle-sparing, and minimally invasive approach for ventral pathologies of the upper thoracic spine.

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“…An anterior approach to the lumbar spine was first published by Müller in 1906 to treat an abscess secondary to Potts disease [ 45 ]. However, poor patient outcomes with this approach and the publication of Hibbs’ approach in 1911 drew focus to posterior spinal access.…”

Section: Reviewmentioning

confidence: 99%

A Comprehensive Review of the Historical Description of Spine Surgery and Its Evolution

Mamdouhi,

Wang,

Echevarria

et al. 2024

Cureus

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Major strides in the advancement of spine surgery came about in the 21 st century. However, the extensive history of spine surgery can be traced back to long before this time. A clear description of the journey from a primitive yet accurate understanding of the human musculoskeletal system to today’s modern aspects of spinal techniques is lacking. A narrative literature review was conducted to elucidate where spine surgery began and the techniques used that evolved over time. This review was conducted using PubMed and Google Scholar. Search terms used included “history of spine surgery," “evolution of spine surgery," “origins of spine surgery," “history of laminectomy," “history of spinal fusion," “history of lumbar interbody fusion," “minimally invasive spine surgery," and “navigation in spine surgery." We highlight the evolution of the basic understanding of anatomy and non-surgical and surgical techniques, including bracing, laminectomy, discectomy, and spinal fusion. The current evolution and integration of minimally invasive techniques, lumbar interbody fusion techniques, robotics, navigation, and motion preservation are discussed, as these are the major areas of focus for technological advancement. This review presents an overarching synopsis of the events that chronicle the progress made in spine surgery since its conception. The review uniquely contributes to the growing body of literature on the expansion of spine surgery and highlights major events in its history.

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The History of Anterior and Lateral Approaches to the Lumbar Spine

Cited by 20 publications

References 37 publications

Towards a More Realistic Appraisal of Complications Following Staged Lateral Lumbar Interbody Fusion: A Single Institution Series

Towards a More Realistic Appraisal of Complications Following Staged Lateral Lumbar Interbody Fusion: A Single Institution Series

The Transaxillary Approach as a Direct Route in the Management of Upper Thoracic Spine Pathology: A Technical Note with Case Series

A Comprehensive Review of the Historical Description of Spine Surgery and Its Evolution

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