Refinements to the simultaneous anterior-posterior approach to the thoracolumbar spine

Lissa Peeling, Evan Frangou, Stephen Hentschel, Ziya L. Gokaslan, Daryl R. Fourney

Research output: Contribution to journalArticle

Abstract

The treatment of complex thoracolumbar disorders occasionally requires combined anterior and posterior approaches. Traditionally, these are either sequentially staged to occur during the same anesthesia procedure or alternatively performed on separate days. A less common option is the simultaneous anterior-posterior approach. The authors discuss the rationale for this approach in selected cases and illustrate a number of modifications to previous descriptions of the procedure. By slightly altering the incision, the risk of wound breakdown and infection has been reduced. The use of newly available positioning devices has allowed easy incorporation of fluoroscopy to guide the placement of spinal instrumentation. The authors have also expanded the use of the approach beyond the original oncological indications to include trauma and infection.

Original languageEnglish (US)
Pages (from-to)456-461
Number of pages6
JournalJournal of Neurosurgery: Spine
Volume12
Issue number5
DOIs
StatePublished - May 2010

Fingerprint

Spine
Fluoroscopy
Wound Infection
Anesthesia
Equipment and Supplies
Wounds and Injuries
Infection

Keywords

  • Combined approach
  • Lumbar spine
  • Spinal surgery
  • Thoracic spine

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

Refinements to the simultaneous anterior-posterior approach to the thoracolumbar spine. / Peeling, Lissa; Frangou, Evan; Hentschel, Stephen; Gokaslan, Ziya L.; Fourney, Daryl R.

In: Journal of Neurosurgery: Spine, Vol. 12, No. 5, 05.2010, p. 456-461.

Research output: Contribution to journalArticle

Peeling, L, Frangou, E, Hentschel, S, Gokaslan, ZL & Fourney, DR 2010, 'Refinements to the simultaneous anterior-posterior approach to the thoracolumbar spine', Journal of Neurosurgery: Spine, vol. 12, no. 5, pp. 456-461. https://doi.org/10.3171/2009.11.SPINE09309
Peeling, Lissa ; Frangou, Evan ; Hentschel, Stephen ; Gokaslan, Ziya L. ; Fourney, Daryl R. / Refinements to the simultaneous anterior-posterior approach to the thoracolumbar spine. In: Journal of Neurosurgery: Spine. 2010 ; Vol. 12, No. 5. pp. 456-461.
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