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Lateral Prepsoas (Oblique) Approach Nuances.

Anthony M DiGiorgio1, Caleb S Edwards2, Michael S Virk3

  • 1Department of Neurosurgery, Louisiana State University Health Sciences Center, 2020 Gravier Street, 7th Floor, New Orleans, LA 70120, USA.

Neurosurgery Clinics of North America
|June 24, 2018
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Summary
This summary is machine-generated.

The prepsoas oblique approach to the lumbar spine offers benefits similar to the transpsoas lateral approach but reduces complications by avoiding psoas muscle traversal. This article details the technique for surgeons.

Keywords:
Interbody fusionLumbar fusionLumbar spinePrepsoas

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • The transpsoas lateral approach is a common technique for lumbar spine surgery.
  • This approach offers significant benefits but carries risks of psoas muscle-related complications.
  • Alternative approaches are sought to mitigate these risks.

Purpose of the Study:

  • To describe the technical aspects and nuances of the prepsoas oblique approach to the lumbar spine.
  • To highlight the advantages of this approach in reducing postoperative complications.
  • To provide guidance for surgeons unfamiliar with this surgical technique.

Main Methods:

  • The article presents a detailed technical description of the prepsoas oblique approach.
  • It emphasizes the anatomical considerations and surgical steps involved.
  • The focus is on the unique aspects of working at an oblique angle to the lumbar spine.

Main Results:

  • The prepsoas oblique approach achieves benefits comparable to the transpsoas lateral approach.
  • Crucially, it avoids direct traversal of the psoas muscle.
  • This reduction in psoas violation leads to fewer associated postoperative complications.

Conclusions:

  • The prepsoas oblique approach is a viable alternative for lumbar spine surgery.
  • It offers a method to achieve surgical goals while minimizing psoas-related morbidity.
  • Surgeons can benefit from understanding the technical details to safely implement this approach.