Lateral Transpsoas Fusion: Indications and Outcomes
Spinal fusion historically has been used extensively, and, recently, the lateral transpsoas approach to the thoracic and lumbar spine has become an increasingly common method to achieve fusion. Recent literature on this approach has elucidated its advantage over more traditional anterior and posteri...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/2012/893608 |
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| author | Vishal C. Patel Daniel K. Park Harry N. Herkowitz |
| author_facet | Vishal C. Patel Daniel K. Park Harry N. Herkowitz |
| author_sort | Vishal C. Patel |
| collection | DOAJ |
| description | Spinal fusion historically has been used extensively, and, recently, the lateral transpsoas approach to the thoracic and lumbar spine has become an increasingly common method to achieve fusion. Recent literature on this approach has elucidated its advantage over more traditional anterior and posterior approaches, which include a smaller tissue dissection, potentially lower blood loss, no need for an access surgeon, and a shorter hospital stay. Indications for the procedure have now expanded to include degenerative disc disease, spinal stenosis, degenerative scoliosis, nonunion, trauma, infection, and low-grade spondylolisthesis. Lateral interbody fusion has a similar if not lower rate of complications compared to traditional anterior and posterior approaches to interbody fusion. However, lateral interbody fusion has unique complications that include transient neurologic symptoms, motor deficits, and neural injuries that range from 1 to 60% in the literature. Additional studies are required to further evaluate and monitor the short- and long-term safety, efficacy, outcomes, and complications of lateral transpsoas procedures. |
| format | Article |
| id | doaj-art-cd41dc96faaa4c5795533a63e5b6ad5f |
| institution | OA Journals |
| issn | 1537-744X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-cd41dc96faaa4c5795533a63e5b6ad5f2025-08-20T02:19:51ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/893608893608Lateral Transpsoas Fusion: Indications and OutcomesVishal C. Patel0Daniel K. Park1Harry N. Herkowitz2Orthopaedic Spine Fellow, Department of Orthopaedic Surgery, William Beaumont Hospital, 3601 West 13 Mile Road Royal Oak, MI 48073, USAOrthopaedic Spine Attending, Department of Orthopaedic Surgery, William Beaumont Hospital, 3601 West 13 Mile Road Royal Oak, MI 48073, USAOrthopaedic Spine Attending, Chairman of the Department of Orthopaedic Surgery, William Beaumont Hospital, 3601 West 13 Mile Road Royal Oak, MI 48073, USASpinal fusion historically has been used extensively, and, recently, the lateral transpsoas approach to the thoracic and lumbar spine has become an increasingly common method to achieve fusion. Recent literature on this approach has elucidated its advantage over more traditional anterior and posterior approaches, which include a smaller tissue dissection, potentially lower blood loss, no need for an access surgeon, and a shorter hospital stay. Indications for the procedure have now expanded to include degenerative disc disease, spinal stenosis, degenerative scoliosis, nonunion, trauma, infection, and low-grade spondylolisthesis. Lateral interbody fusion has a similar if not lower rate of complications compared to traditional anterior and posterior approaches to interbody fusion. However, lateral interbody fusion has unique complications that include transient neurologic symptoms, motor deficits, and neural injuries that range from 1 to 60% in the literature. Additional studies are required to further evaluate and monitor the short- and long-term safety, efficacy, outcomes, and complications of lateral transpsoas procedures.http://dx.doi.org/10.1100/2012/893608 |
| spellingShingle | Vishal C. Patel Daniel K. Park Harry N. Herkowitz Lateral Transpsoas Fusion: Indications and Outcomes The Scientific World Journal |
| title | Lateral Transpsoas Fusion: Indications and Outcomes |
| title_full | Lateral Transpsoas Fusion: Indications and Outcomes |
| title_fullStr | Lateral Transpsoas Fusion: Indications and Outcomes |
| title_full_unstemmed | Lateral Transpsoas Fusion: Indications and Outcomes |
| title_short | Lateral Transpsoas Fusion: Indications and Outcomes |
| title_sort | lateral transpsoas fusion indications and outcomes |
| url | http://dx.doi.org/10.1100/2012/893608 |
| work_keys_str_mv | AT vishalcpatel lateraltranspsoasfusionindicationsandoutcomes AT danielkpark lateraltranspsoasfusionindicationsandoutcomes AT harrynherkowitz lateraltranspsoasfusionindicationsandoutcomes |