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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

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Equipoise for Lateral Access Surgery.

Hao Wu¹, Prudence Wing Hang Cheung¹, Reuben Chee Cheong Soh²

¹Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.

World Neurosurgery

|July 25, 2022

Summary

This summary is machine-generated.

Lateral access surgery is increasingly used in the Asia-Pacific region. However, training and resources are needed to improve its adoption in lower-income countries, with no consensus on deformity correction sequencing.

Keywords:

Interbody fusion Questionnaire lateral access surgery

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Area of Science:

Spine surgery
Minimally invasive spine surgery
Orthopedic surgery

Background:

Lateral access surgery (LAS) is a minimally invasive technique gaining traction globally.
Understanding its adoption and challenges in the Asia-Pacific region is crucial for future development.

Purpose of the Study:

To investigate the current use and perceptions of lateral access surgery among spine surgeons in the Asia-Pacific region.
To identify areas of consensus and contention regarding its application and techniques.

Main Methods:

A questionnaire was distributed to members of the Asia Pacific Spine Society.
Surgeons reported on their experience, preferred techniques, implant choices, and complication rates with LAS.

Main Results:

67.6% of surgeons had prior experience with LAS.
54.9% considered LAS superior to other techniques for anterior column reconstruction.
Surgeons favored laminectomy over indirect decompression for severe spinal stenosis and lacked consensus on multilevel reconstruction sequencing.

Conclusions:

LAS adoption varies across the Asia-Pacific region, with higher use in wealthier nations.
Enhanced training, resources, and cost-effectiveness are needed to increase LAS use in lower-income countries.
Significant divergence exists in surgical decision-making for spinal stenosis treatment and deformity correction sequencing.