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Related Experiment Video

Updated: Aug 24, 2025

Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability
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Mini-open lateral retropleural thoracic discectomy approach.

Juan S Uribe1, Gennadiy A Katsevman1, Clinton D Morgan1

  • 1Department of Neurosurgery, St. Joseph's Hospital and Medical Center, Barrow Neurological Institute, Phoenix, Arizona.

Neurosurgical Focus: Video
|October 26, 2022
PubMed
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The lateral retropleural approach offers a minimally invasive, safe surgical corridor for thoracolumbar spine pathologies like herniated discs. This technique minimizes morbidity compared to traditional methods, enhancing patient outcomes.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Minimally Invasive Spine Surgery

Background:

  • Traditional thoracolumbar spine approaches (transpedicular, costotransversectomy, transthoracic) are associated with significant morbidity.
  • These conventional methods often necessitate spinal instrumentation.
  • Herniated thoracic discs present unique surgical challenges.

Purpose of the Study:

  • To demonstrate the efficacy and nuances of the lateral retropleural approach for thoracolumbar spine pathologies.
  • To highlight this mini-open technique as a safe alternative to traditional open procedures.
  • To provide a comprehensive guide to the surgical technique, including patient positioning, planning, anatomy, and postoperative care.

Main Methods:

  • Video demonstration of the lateral retropleural approach.
Keywords:
lateral retropleural approachmini-open approachthoracic disc herniation

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  • Detailed explanation of patient positioning and surgical planning.
  • Emphasis on relevant anatomical landmarks and surgical technique.

    • Main Results:

    • The lateral retropleural approach provides an eloquent and safe corridor.
    • This approach is effective for treating various thoracolumbar pathologies, including herniated thoracic discs.
    • The technique appears to offer reduced morbidity compared to traditional methods.

    Conclusions:

    • The lateral retropleural approach is a valuable, minimally invasive option for thoracolumbar spine surgery.
    • This technique offers a safe and effective corridor with potentially lower morbidity.
    • Comprehensive understanding of the approach's nuances is crucial for successful application.