Role of Neuromonitoring in Minimally Invasive Lateral Approaches to the Spine

Khoi Than, Anthony C. Wang, Brian Bush, Paul Park, Frank La Marca

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Minimally invasive approaches allow surgeons to achieve clinical outcomes similar to traditional open approaches but with decreased blood loss, postoperative pain, and length of hospital stay. In 1998, a minimally invasive retroperitoneal transpsoas approach to the lumbar spine was described that provided surgeon access to the anterior lumbar spine with less morbidity than that associated with the traditional retroperitoneal approach [1] while providing equivalent biomechanics [2]. In this procedure, the patient is typically placed in the right lateral decubitus position (so as to avoid the liver). Incisions are planned with the aid of fluoroscopy over the appropriate disc space(s) and the retroperitoneum is entered. The disc spaces are then sequentially accessed through the psoas muscle using a guidewire, dilators, and tubular retractor. Discectomy can then be performed, followed by placement of an interbody spacer. This procedure can be “stand alone” or supplemented with posterior instrumentation.

Original languageEnglish (US)
Title of host publicationMinimally Invasive Spinal Deformity Surgery: An Evolution of Modern Techniques
PublisherSpringer-Verlag Wien
Pages233-243
Number of pages11
ISBN (Print)9783709114070, 9783709114063
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Than, K., Wang, A. C., Bush, B., Park, P., & Marca, F. L. (2014). Role of Neuromonitoring in Minimally Invasive Lateral Approaches to the Spine. In Minimally Invasive Spinal Deformity Surgery: An Evolution of Modern Techniques (pp. 233-243). Springer-Verlag Wien. https://doi.org/10.1007/978-3-7091-1407-0_24