Anterior minimally invasive extrapleural retroperitoneal approach to the thoraco-lumbar junction of the spine - 02/02/13
, Y. Benhima b, C. Eap a, S. Malikov c, G. Pech-Gourg d, B. Blondel d, P. Métellus d, S. Fuentes d
Corresponding author.
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
Artículo gratuito.
Conéctese para beneficiarse!
Summary |
Background |
The anterior approach to the thoraco-lumbar junction of the spine allows therapeutic interventions on post-traumatic, infectious, and neoplastic vertebral lesions from T11 to L2 combining spinal cord decompression, corporectomy, and vertebral body fusion. However, this approach also has a reputation for damaging the intervening anatomic structures (lungs, peritoneum, and diaphragm). The objective of this study was to show that both nervous structure decompression and anterior vertebral reconstruction can be achieved via an anterior minimally invasive extrapleural retroperitoneal (AMIER) approach.
Material |
We describe each of the steps of the AMIER approach to the thoraco-lumbar junction of the spine.
Results |
The AMIER approach ensures excellent exposure that allows full decompression and satisfactory anterior anatomic reconstruction. The main difficulties and complications relate to the lungs, and a painstaking and rigorous technique limits the complications compared to conventional thoraco-phreno-lumbotomy.
El texto completo de este artículo está disponible en PDF.Keywords : Anatomy, Thoraco-lumbar spinal junction, Minimally invasive approach, Spinal cord, Spine anterior approach
Esquema
Vol 99 - N° 1
P. 94-98 - février 2013 Regresar al número
Artículo precedente
- Major amputation of lower extremity: Prognostic value of positive bone biopsy cultures
- D. Vaznaisiene, E. Beltrand, A.P. Laiskonis, Y. Yazdanpanah, H. Migaud, E. Senneville
- Anterior cruciate ligament reconstruction with fascia lata using a minimally invasive arthroscopic harvesting technique
- F. Khiami, A. Wajsfisz, A. Meyer, E. Rolland, Y. Catonné, E. Sariali
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.