The Paraspinal Sacrospinalis-Splitting Approach to the Lumbar Spine

Wiltse, Leon L.; Bateman, John F.; Hutchinson, Robert H.; Nelson, William P.

doi:10.2106/00004623-196850050-00004

Cited by 386 publications

(145 citation statements)

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“…In the classical method used since the nineteenth century, a skin incision is made along the spinous process and midline lamina followed by dissection and ecartation of the multifidus muscle [1][2][3][4][5][6][7].…”

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confidence: 99%

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Comparison of Wiltse and classical methods in surgery of lumbar spinal stenosis and spondylolisthesis

Ulutaş

Yaldız

Seçer³

et al. 2015

Neurologia i Neurochirurgia Polska

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mentioning

confidence: 99%

“…This approach has a number of disadvantages: muscle and ligament damage; lack of access to the lateral section of the facet joints or muscle; ligament damage caused by trying to access joints; formation of a cavity in the inaccessible regions after surgery; frequent hemorrhage; postoperative pain; and long-lasting physical restrictions [1,5,6].…”

mentioning

confidence: 99%

Comparison of Wiltse and classical methods in surgery of lumbar spinal stenosis and spondylolisthesis

Ulutaş

Yaldız

Seçer³

et al. 2015

Neurologia i Neurochirurgia Polska

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“…However, traditional posterior approach requires splitting of the paravertebral muscles and ligaments, which is associated with perioperative bleeding, possibly increased infection rate, back pain, and delayed functional rehabilitation. [1][2][3] The Wiltse paraspinal approach 4 , is associated with less bleeding and less tissue injury through dissection, and it was thought to minimize the negative consequences of the traditional open posterior approach since it was associated with good outcomes.…”

Section: Orthopedic Gen Hosp Agios Andreas Patras Greecementioning

confidence: 99%

Hidden Blood Loss in Spine Surgery for A1-A3 thoracolumbar Fractures. Comparison Between Three Approaches

Korovessis

2018

Journal of Investigative Surgery

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“…As for the choice of skin incision of paraspinal muscles, Wiltse proposed that two vertical incisions were made in 30-mm position of posterior median line in 1968 [19]. For the sake of beautification and operation difficulties, Wiltse et al suggested to make one incision in the posterior median line and then detach to spatium intermusculare in 1988 [20].…”

Section: Some Factors Should Be Paid Attention To In Clinic Applicationmentioning

confidence: 99%

Modified surgery for acute thoracolumbar fractures: a prospective report

Lin

Guo

Ding

et al. 2011

Eur Orthop Traumatol

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Objectives The treatment of acute thoracolumbar fractures is a demanding and fine surgical challenge. Conventional procedures are not always satisfactory enough because of postoperative complications of failure of posterior instrumentation or lumbodorsal pain etc. This prospective outcome study was undertaken to investigate the improvement of the surgical treatment effect on acute thoracolumbar fractures by performing modified surgeries. Methods Nineteen patients with acute thoracolumbar fractures and associated incomplete neurologic deficit, subjected to the methods of transpedicular intracorporeal hydroxyapatite grafting and pedicle screw fixation through paraspinal approach, were reviewed after a minimum follow-up of 2 years. Nineteen patients all suffered from a single thoracolumbar fracture. The mean preoperative ratio of the height of the anterior border was 57.2%, kyphosis degree was 21.6°, and occupancy of canales spinalis was 30.5%. The radiographic parameters were evaluated, and clinical records were reviewed. Results The average operating time was 112.4 min, and the mean blood loss was 123.7 ml. The neurologic function of all 19 patients was improved by at least one American Spine Injury Association grade, with 17 (89.5%) having complete neurologic recovery. The mean height of injured spine was corrected from 57.2% to 88.4% at the most recent follow-up, and the kyphosis was corrected from 21.6°to 4.8°. There was only one patient (5.3%) who complained that the operative area was a little painful, and the remaining patients did not claim pain in waist and back. Conclusions Transpedicular intracorporeal hydroxyapatite grafting and pedicle screw fixation through paraspinal approach could provide reliable neurologic improvement in patients with incomplete neurologic deficit, and could prevent the development of kyphosis. Furthermore, it has the obvious advantages of less invasion and blood loss, and decreases the risks of postoperative lumbodorsal pain.

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The Paraspinal Sacrospinalis-Splitting Approach to the Lumbar Spine

Cited by 386 publications

References 0 publications

Comparison of Wiltse and classical methods in surgery of lumbar spinal stenosis and spondylolisthesis

Comparison of Wiltse and classical methods in surgery of lumbar spinal stenosis and spondylolisthesis

Hidden Blood Loss in Spine Surgery for A1-A3 thoracolumbar Fractures. Comparison Between Three Approaches

Modified surgery for acute thoracolumbar fractures: a prospective report

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