Related Experiment Video
Updated: Aug 24, 2025
05:30
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
967
Safe dissection and complication avoidance for L1-2 interbody placement via a lateral access approach
David S Xu1, Gabriella M Paisan2, Joelle N Hartke2
1Department of Neurosurgery, Ohio State University Wexner Medical Center, Columbus, Ohio; and.
Neurosurgical Focus: Video
|October 26, 2022
Summary
Navigating the thoracolumbar junction for spinal surgery requires anatomical knowledge. Understanding diaphragm fiber pathways is crucial to prevent surgical injury during lateral approaches.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Anatomy
Background:
- Lateral access for thoracolumbar interbody fusion presents anatomical challenges.
- The diaphragm's location and fiber orientation are critical considerations near the thoracolumbar junction.
Purpose of the Study:
- To elucidate the anatomical considerations for safe lateral access at the thoracolumbar junction.
- To highlight the importance of diaphragm visualization and preservation during L1-2 interbody placement.
Main Methods:
- Detailed anatomical review of the thoracolumbar junction.
- Emphasis on understanding diaphragm musculature and its relationship to surgical corridors.
Main Results:
- Lateral approaches to the thoracolumbar spine require precise anatomical knowledge.
- Diaphragm fiber pathways must be identified to avoid inadvertent injury.
Conclusions:
- Thorough anatomical understanding is essential for successful and safe lateral interbody procedures at the thoracolumbar junction.
- Preventing diaphragm injury is paramount during these approaches.
