[Possibilities of anterior approach to the lumbar spine by minimal retroperitoneal access. Anatomical bases. Technical principles and initial results].
Anterolateral approach to the lumbar spine using a retroperitoneal approach is a common technique. But conventional approaches are performed laterally, resulting in parietal muscular damage, which may alter functional results. The authors present their experience about a minimized pararectal retroperitoneal approach from T12 to S1. Some anatomical aspects are important for a safe and reproductive procedure. The authors used mainly this technique in association with posterior correction and fixation in traumatic and degenerative pathologies. They point out the simplicity of this technique which is performed without special equipment. It seems a real alternative to laparoscopic techniques and micro-surgical antero-lateral interbody fusion, especially because of minimal potential complications and low post operative morbidity.
Lazennec
J Y
JY
Hôpital Pitié-Salpétrière, Service de Chirurgie Orthopédique, Paris.
Pouzet
B
B
Ramare
S
S
Mora
N
N
Hansen
S
S
Saillant
G
G
Benazet
J P
JP
D006801:Humans; D008159:Lumbar Vertebrae / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures
Les possibilités de l'abord antérieur du rachis lombaire par voie rétro-péritonéale minimisée. Bases anatomiques. Principes techniques et premiers résultats.