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European Spine Journal

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01-09-2013 | Ideas and Technical Innovations

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Authors: Kamran Aghayev, Frank D. Vrionis

Published in: European Spine Journal | Issue 9/2013

Abstract

Purpose

The main aim of this paper was to report reproducible method of lumbar spine access via a lateral retroperitoneal route.

Methods

The authors conducted a retrospective analysis of the technical aspects and clinical outcomes of six patients who underwent lateral multilevel retroperitoneal interbody fusion with psoas muscle retraction technique. The main goal was to develop a simple and reproducible technique to avoid injury to the lumbar plexus.

Results

Six patients were operated at 15 levels using psoas muscle retraction technique. All patients reported improvement in back pain and radiculopathy after the surgery. The only procedure-related transient complication was weakness and pain on hip flexion that resolved by the first follow-up visit.

Conclusions

Psoas retraction technique is a reliable technique for lateral access to the lumbar spine and may avoid some of the complications related to traditional minimally invasive transpsoas approach.

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Title: Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients
Authors: Kamran Aghayev
Frank D. Vrionis
Publication date: 01-09-2013
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 9/2013
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-013-2931-1

At a glance: The STEP trials

Springer Medicine

Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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