Seminars in Spine Surgery最新文献

Oblique lateral interbody fusion: Technique and pearls 斜侧椎间融合术：技术和珍珠

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101160

Elyette Lugo, Wesley Durand, Amit Jain

{"title":"Oblique lateral interbody fusion: Technique and pearls","authors":"Elyette Lugo, Wesley Durand, Amit Jain","doi":"10.1016/j.semss.2025.101160","DOIUrl":"10.1016/j.semss.2025.101160","url":null,"abstract":"<div><div>Lumbar interbody fusion is a surgical procedure that fuses two or more vertebrae used to treat degenerative spinal conditions, instability, and deformities. There are several approaches commonly used, such as anterior lumbar interbody fusion (ALIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), and lateral lumbar interbody fusion (LLIF), each with distinct risks and limitations. Anterior-to-the psoas oblique lateral interbody fusion (ATP/OLIF) is a surgical approach that was introduced to optimize lumbar interbody fusion while mitigating risks associated with the traditional approaches. ATP/OLIF utilizes an oblique surgical corridor between the psoas muscle and major vascular structures. ATP/OLIF offers a minimally invasive alternative for lumbar fusion, providing safe access to the L1-L5 levels, particularly L4-L5, with reduced risk of vascular injury (compared to ALIF) and lumbar plexus irritation (compared to PLIF). This chapter outlines the rationale, indications, surgical approach, and technical pearls essential for successful ATP/OLIF implementation. Compared to ALIF, TLIF, and LLIF, ATP/OLIF minimizes the need for vascular mobilization and neural retraction, improving surgical efficiency and patient outcomes.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 1","pages":"Article 101160"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

L2/3, L3/4 and L4/5 oblique lumbar interbody fusion/anterior to psoas: Anatomical and technical considerations l3 /3、L3/4和L4/5斜腰椎间融合/腰肌前路：解剖学和技术考虑

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101162

Prashanth J Rao , Nipun Shreshtha , Gayani Petersingham , Andrew J Berg , Kevin Seex

{"title":"L2/3, L3/4 and L4/5 oblique lumbar interbody fusion/anterior to psoas: Anatomical and technical considerations","authors":"Prashanth J Rao , Nipun Shreshtha , Gayani Petersingham , Andrew J Berg , Kevin Seex","doi":"10.1016/j.semss.2025.101162","DOIUrl":"10.1016/j.semss.2025.101162","url":null,"abstract":"<div><h3>Background</h3><div>Degenerative disc and facet joint disease are prevalent conditions in the aging population, often leading to disability. Oblique lumbar interbody fusion (OLIF) /anterior to psoas (ATP) surgeries provide effective treatment by stabilizing the affected segment, offering indirect decompression of neural elements, and correcting coronal and sagittal deformities. Other indications include instability, infection, tumour and revision surgery. This review aims to assess the anatomical and technical considerations essential for performing OLIF/ATP surgeries between L2-L5 .</div></div><div><h3>Methods</h3><div>The surgical techniques and anatomical and technical considerations for lumbar interbody fusion using OLIF/ATP at the L2/3, L3/4, and L4/5 levels were examined.</div></div><div><h3>Results</h3><div>This review outlines anatomical and technical considerations for a successful ATP/OLIF procedure L2-L5.</div></div><div><h3>Conclusion</h3><div>This study thoroughly reviews the literature on OLIF/ATP and provides recommendations and guidelines on anatomical and technical considerations for ATP/OLIF procedures at L2/3, L3/4 and L4/5.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 1","pages":"Article 101162"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anterior-to-psoas OLIF: Surgical approach, issues & technical nuances 前路到腰肌的OLIF：手术入路、问题和技术上的细微差别

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101159

Stjepan Ivandić , Jure Pavešić , Stipe Ćorluka , Tomislav Čengić

引用次数: 0

Contributors to authors 作者贡献者

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101172

引用次数: 0

Minimally invasive lateral approach to the thoracic spine and thoracolumbar junction 胸椎和胸腰椎连接处的微创外侧入路

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101163

Andrew James Berg , Prashanth J Rao , Jake Timothy

{"title":"Minimally invasive lateral approach to the thoracic spine and thoracolumbar junction","authors":"Andrew James Berg , Prashanth J Rao , Jake Timothy","doi":"10.1016/j.semss.2025.101163","DOIUrl":"10.1016/j.semss.2025.101163","url":null,"abstract":"<div><div>Traditional thoracotomy has long been established as an effective technique for treating anterior-based pathologies of the thoracic spine but is associated with significant morbidity, including high rates of respiratory complications and persistent thoracic wall pain. In response to these limitations, the minimally invasive lateral approach to the thoracic spine and thoracolumbar junction has emerged as a less morbid alternative, while offering comparable surgical access to the vertebral body, disc, and anterior spinal canal. This approach enables treatment of a wide range of pathologies — including trauma, infection, neoplasia, degeneration, and deformity — through procedures such as discectomy, spinal cord decompression, interbody fusion, corpectomy, and anterolateral instrumentation. Careful patient selection, thorough preoperative planning, and precise anatomical understanding are essential for its safe and effective application. This paper reviews the indications, contraindications, anatomical considerations, surgical technique, outcomes, and complications associated with the minimally invasive lateral approach, with particular emphasis on anatomical relationships of critical structures — including the diaphragm, aorta, and azygos vein — and technical aspects such as patient positioning, incision planning, diaphragm management, and retractor systems. Published clinical data demonstrating reductions in operative time, blood loss, hospital stay, and approach-related morbidity compared to traditional thoracotomy — while achieving equivalent or superior fusion rates and deformity correction — are outlined, along with evidence supporting the utility of this approach for specific anterior spinal pathologies. This paper provides a comprehensive resource for surgeons incorporating the minimally invasive lateral approach to the thoracic and thoracolumbar spine into their clinical practice.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 1","pages":"Article 101163"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Oblique lumbar interbody fusion (OLIF) implants and lumbar disc replacement: Design, current status, and future directions 斜腰椎椎体间融合（OLIF）植入物和腰椎间盘置换术：设计、现状和未来方向

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101165

Stipe Ćorluka , Stjepan Ivandić , Mišo Krstičević , Tomislav Čengić

引用次数: 0

Anterior to psoas fusion: Radiological parameters and associated clinical outcomes 腰肌前路融合：影像学参数和相关临床结果

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101167

Andrew James Berg , Joseph Maalouly , Liam D. Rose , Prashanth J. Rao , Shay Menachem

引用次数: 0

History of anterolateral spine surgery 前外侧脊柱手术史

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101157

Johanna Oltmann, Kevin Seex

{"title":"History of anterolateral spine surgery","authors":"Johanna Oltmann, Kevin Seex","doi":"10.1016/j.semss.2025.101157","DOIUrl":"10.1016/j.semss.2025.101157","url":null,"abstract":"<div><div>Anterolateral approaches to the spine have become essential for addressing a variety of spinal pathologies, offering an alternative to traditional posterior methods. These techniques, though effective, present anatomical challenges that require continuous innovation to improve safety and clinical outcomes. With an aging population demanding safer and less invasive procedures, spine surgeons increasingly rely on anterolateral approaches to treat conditions such as degenerative disc disease, spondylolisthesis, and deformities. Historical developments, including Ménard's lateral extracavitary approach, Müller's anterior lumbar access, and Hodgson and Stock's anterior spinal fusion, have shaped these techniques. Advancements like the retroperitoneal ALIF, mini-open variations, XLIF and ATP procedures have refined the approach, reducing morbidity and accelerating recovery. The shift to minimally invasive techniques has improved surgical outcomes, and as demand for these surgeries grows, further refinement of anterolateral techniques promises to enhance safety and efficacy in managing complex spinal disorders. This review summarizes the history and progress of anterolateral spine surgery.</div></div>","PeriodicalId":39884,"journal":{"name":"Seminars in Spine Surgery","volume":"37 1","pages":"Article 101157"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complications of anterior-to-psoas and their avoidance and treatment 前腰肌的并发症及其预防和治疗

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101161

Chang Hwa Ham, Woo-Keun Kwon, Joo Han Kim

引用次数: 0

Patient selection and workup 病人的选择和检查

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101158

David Strong , Joel Steiner , Robert Lee

引用次数: 0