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Updated: Jun 19, 2026
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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Double approach in thoraco-lumbar malunions.
Jean-Paul Steib1, Sami Mezghani, Yann Philippe Charles
1Department of Spine Surgery, University Hospital of Strasbourg, Strasbourg Cedex, France. jean-paul.steib@chru-strasbourg.fr
Summary
Surgical correction of thoracolumbar fractures (T11-L2) with malunion requires a two-approach strategy. This method ensures effective, lasting deformity correction through staged posterior and anterior spinal fusion techniques.
Area of Science:
- Spine surgery
- Orthopedic surgery
- Traumatology
Background:
- Thoracolumbar fractures (T11-L2) with malunion frequently necessitate surgical intervention.
- Current surgical strategies often involve complex procedures to address spinal deformities.
Purpose of the Study:
- To present a refined surgical technique for correcting malunited thoracolumbar fractures.
- To evaluate the efficacy and safety of a two-approach strategy for spinal deformity correction.
Main Methods:
- A staged surgical approach involving posterior reduction and stabilization followed by anterior interbody fusion for flexible deformities.
- For rigid deformities, an initial anterior release with bone grafting, followed by posterior reduction and stabilization.
- Screw rod fixation utilized for posterior bending in situ.
Main Results:
- The described two-approach strategy effectively corrects spinal deformities.
- This technique achieves lasting correction without significant loss over time.
- The procedure was demonstrated to be fast and safe in a series of 20 patients.
Conclusions:
- A combined anterior and posterior surgical approach is effective for managing malunited thoracolumbar fractures.
- This strategy offers a reliable method for achieving and maintaining spinal correction.
- The technique is both time-efficient and safe for patient outcomes.
