Seminars in Spine Surgery最新文献_第3页

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

L5/S1 oblique lumbar interbody fusion: Anatomical and technical considerations L5/S1斜腰椎体间融合术：解剖学和技术考虑

Seminars in Spine Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.semss.2025.101166

Liam D Rose , Gayani Petersingham , Andrew J Berg , Prashanth J Rao , John YS Choi

引用次数: 0

Contributors to authors 作者投稿

Seminars in Spine Surgery Pub Date : 2024-11-26 DOI: 10.1053/S1040-7383(24)00070-4

引用次数: 0

Operative and non-operative options for benign primary spine tumors 良性原发性脊柱肿瘤的手术和非手术治疗方案

Seminars in Spine Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.semss.2024.101139

Ikechukwu C. Amakiri , Daniel G. Tobert

引用次数: 0