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DeWald, Christopher et al.: 2024 Spinal Deformities DOI: 10.1055/b-0044-203479
Section IV-C Surgical Treatment for Adult Spinal Deformities

56 Open Anterior Spinal Surgery in Adult Spinal Deformities

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Editors: DeWald, Christopher; DeWald, Ronald L.

Authors: Ackshota, Nissim; Ahn, Nicholas U.; Alazzeh, Mohanad; Albert, Todd J.; Algattas, Hanna; An, Howard S.; Anari, Jason B.; Arlet, Vincent; Asher†, Marc A.; Belanger, Evan H.; Blakemore, Laurel C.; Blanke, Kathleen M.; Bondar, Kevin; Buchowski, Jacob M.; Bunch, Joshua T.; Burton, Douglas C.; Cahill, Patrick J.; Campbell, Robert; Carl, Allen L.; Caruso, Steven; Cerpa, Meghan; Charosky, Sebastien; Cognetti, Daniel J.; Crawford, Alvin H.; Crawford III, Charles H.; Cui, Shari; Daffner, Scott D.; Dede, Ozgur; Dekutoski, Mark B.; DeWald, Christopher J.; Dormans, John P.; Drayer, Nicholas J.; Drummond†, Denis S.; Emery, Sanford E.; Farcy, Jean-Pierre C.; Farrell, James P.; Fontes, Ricardo B. V.; Forsthoefel, Craig; Frost, Chelsea; Gaines, Robert W.; Gandhi, Sapan D.; Gehrchen, Martin; Glassman, Steven D.; Guiroy, Alfredo; Gupta, Munish C.; Ha, Alex S.; Hadeed, Michael M.; Haher, Thomas R.; Hamill, Christopher L.; Hamilton, D. Kojo; Hariharan, Arun R.; Harrop, James S.; Hashmi, Sohaib Z.; Hassanzadeh, Hamid; Heydemann, John A.; Horowitz, Jason A.; Howard, Roland; Hu, Ming-Hsiao; Hu, Serena S.; Hwang, Steven W.; Iyer, Sravisht; Jain, Amit; Jain, Viral V.; Janjua, M. Burhan; Jorgensen, Anton; Kang, Daniel G.; Kawakami, Noriaki; Kebaish, Khaled M.; Kelly, Michael P.; Kim, Han Jo; Labaran, Lawal A.; Lafage, Virginie; Laratta, Joseph L.; Lehman, Ronald A.; Lenke, Lawrence G.; Loder, Randall T.; Lonstein, John E.; Louie, Philip K.; Lubicky, John P.; Malik, Mohammad Saad; Marco, Rex A.W.; Mardjetko, Steven M.; Marrache, Majd; Maslak, Joseph P.; McCarthy, Michael H.; Melikian, Rojeh; Miller, Catherine; Min, Kan; Moquin, Ross R.; Morrison, Pamela R.; Mummaneni, Praveen V.; Nelson, Scott; Newton, Peter O.; Nolte, Michael T.; O’Brien†, Michael F.; Oetgen, Matthew E.; Ogilvie, James W.; Pannu, Tejbir S.; Petfield, Joseph L.; Riccio, Alexander R.; Roussouly, Pierre; Rymarczuk, George; Saifi, Comron; Salari, Pooria A.; Samdani, Amer F.; Sanders, James O.; Sarwark, John F.; Schwab, Frank J.; Sebaaly, Amer; Sengupta, Dilip K.; Shafi, Karim; Shah, Suken A.; Sheha, Evan D.; Shen, Francis H.; Shimer, Adam L.; Shtewe, Anan H.; Singla, Priyanka; Sponseller, Paul; Staub, Blake N.; Stricsek, Geoffrey P.; Sturm, Peter F.; Suk, Se-Il; Theologis, Alekos A.; Thompson, George H.; Thottempudi, Santan; Uribe, Juan S.; Vivas, Andrew C.; Wallace, Christopher S.; Witte, Zackery W.; Wood, Kirkham B.; York, Philip J.; Yu, Henry H.; Zebala, Lukas P.; Zhang, Bo; Zhao, Yiyu

Title: Spinal Deformities

Subtitle: The Comprehensive Text

Print ISBN: 9781626233720; Online ISBN: 9781684203604; Book DOI: 10.1055/b000000246

2. Edition © 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc., New York

Subjects: Neurosurgery;Orthopaedics and Trauma Surgery

Thieme Clinical Collections (English Language)



 
Anton Jorgensen and Robert W. Gaines

Abstract

The anterior approach for lumbar and thoracolumbar spinal pathology allows direct access to pathologic vertebral body lesions and fractures and provides releases to scoliotic deformities, improving deformity correction and arthrodesis. Typically, the thoracic spine is approached from the right chest (left lateral decubitus position) and the thoracolumbar and upper lumbar spine is approached from the left side (right lateral decubitus or oblique position). However, many lesions can be addressed from either left or right side. Despite advancements inc the minimal invasive approaches to the anterior spine, knowledge of these open anterior spinal approaches can provide valuable options for the spinal deformity surgeon.

Key words

anterior spine surgery - vertebral osteomyelitis - burst fractures - retroperitoneal approach - anterior release - anterior column support
 
  • 2 Gaines RW, Mehta JS. Anterior Operative Management for Spinal Pathologies. Accessed December 29, 2018 at: http://etext.srs.org/book/
  • 3 Mehta JS, Bhojraj SY. Tuberculosis of the thoracic spine: a classification based on the selection of surgical strategies.. Journal of Bone 2001; 83 (6) 859-863 PubMed
    Search in Google Scholar
  • 5 Dai L-Y, Jiang L-S, Jiang S-D. Anterior-only stabilization using plating with bone structural autograft versus titanium mesh cages for two- or three-column thoracolumbar burst fractures: a prospective randomized study.. Spine 2009; 34 (14) 1429-1435 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 6 Gaines RW, Humphreys WG. A plea for judgment in management of thoracolumbar fractures and fracture-dislocations. A reassessment of surgical indications.. Clin Orthop Relat Res 1984; (189) 36-42 PubMed
    PubMedSearch in Google Scholar
  • 7 Siegal T, Siegal T, Robin G, Lubetzki-Korn I, Fuks Z. Anterior decompression of the spine for metastatic epidural cord compression: a promising avenue of therapy?. Ann Neurol 1982; 11 (1) 28-34 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 8 Harrington KD. Anterior decompression and stabilization of the spine as a treatment for vertebral collapse and spinal cord compression from metastatic malignancy.. Clin Orthop Relat Res 1988; (233) 177-197 PubMed
    PubMedSearch in Google Scholar
  • 11 Uribe JS, Dakwar E, Cardona RF, Vale FL. Minimally invasive lateral retropleural thoracolumbar approach: cadaveric feasibility study and report of 4 clinical cases.. Neurosurgery 2011; 68 (1) (Suppl. Suppl Operative) 32-39, discussion 39 PubMed
    PubMedSearch in Google Scholar
  • 12 Dakwar E, Ahmadian A, Uribe JS. The anatomical relationship of the diaphragm to the thoracolumbar junction during the minimally invasive lateral extracoelomic (retropleural/retroperitoneal) approach.. J Neurosurg Spine 2012; 16 (4) 359-364 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 14 Jagannathan J, Chankaew E, Urban P et al. Cosmetic and functional outcomes following paramedian and anterolateral retroperitoneal access in anterior lumbar spine surgery.. J Neurosurg Spine 2008; 9 (5) 454-465 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 16 Molloy S, Butler JS, Benton A, Malhotra K, Selvadurai S, Agu O. A new extensile anterolateral retroperitoneal approach for lumbar interbody fusion from L1 to S1: a prospective series with clinical outcomes.. Spine J 2016; 16 (6) 786-791 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 19 Kim M-K, Kwak D-S, Jeun S-S et al. Changes in abdominal vascular tension associated with various leg positions in the anterior lumbar approach: cadaver study.. Spine 2010; 35 (10) 1026-1032 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 20 Benglis DM, Elhammady MS, Levi AD, Vanni S. Minimally invasive anterolateral approaches for the treatment of back pain and adult degenerative deformity.. Neurosurgery 2008; 63 (3) (Suppl. Suppl) 191-196 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 21 Benglis DM, Vanni S, Levi AD. An anatomical study of the lumbosacral plexus as related to the minimally invasive transpsoas approach to the lumbar spine.. J Neurosurg Spine 2009; 10 (2) 139-144 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 22 Tannoury C, Das A, Saade A, Bhale R, Chen K, Tannoury T. The Antepsoas (ATP) surgical corridor for lumbar and lumbosacral arthrodesis: a radiographic, anatomic, and surgical investigation.. Spine 2022; 47 (15) 1084-1092 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 23 Silvestre C, Mac-Thiong JM, Hilmi R, Roussouly P. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients.. Asian Spine J 2012; 6 (2) 89-97 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 27 Hodgson AR, Stock FE, Fang HS, Ong GB. Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott’s disease of the spine.. Br J Surg 1960; 48: 172-178 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 29 D’Aliberti G, Talamonti G, Villa F, Debernardi A. The anterior stand-alone approach (ASAA) during the acute phase of spondylodiscitis: results in 40 consecutively treated patients.. Eur Spine J 2012; 21 (Suppl. Suppl 1) S75-S82 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 32 Kaneda K, Abumi K, Fujiya M. Burst fractures with neurologic deficits of the thoracolumbar-lumbar spine. Results of anterior decompression and stabilization with anterior instrumentation.. Spine 1984; 9 (8) 788-795 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 34 Dai L-Y, Jiang L-S, Jiang S-D. Conservative treatment of thoracolumbar burst fractures: a long-term follow-up results with special reference to the load sharing classification.. Spine 2008; 33 (23) 2536-2544 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 39 McDonough PW, Davis R, Tribus C, Zdeblick TA. The management of acute thoracolumbar burst fractures with anterior corpectomy and Z-plate fixation.. Spine 2004; 29 (17) 1901-1908, discussion 1909 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 43 Reinhold M, Schmoelz W, Canto F, Krappinger D, Blauth M, Knop C. A new distractable implant for vertebral body replacement: biomechanical testing of four implants for the thoracolumbar spine.. Arch Orthop Trauma Surg 2009; 129 (10) 1375-1382 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 48 Chou D, Larios AE, Chamberlain RH et al. A biomechanical comparison of three anterior thoracolumbar implants after corpectomy: are two screws better than one?. J Neurosurg Spine 2006; 4 (3) 213-218 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 49 Fricka KB, Mahar AT, Newton PO. Biomechanical analysis of anterior scoliosis instrumentation: differences between single and dual rod systems with and without interbody structural support.. Spine 2002; 27 (7) 702-706 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 50 Brodner W, Mun Yue W, Möller HB, Hendricks KJ, Burd TA, Gaines RW. Short segment bone-on-bone instrumentation for single curve idiopathic scoliosis.. Spine 2003; 28 (20) (Suppl. 20S) S224-S233 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 52 Flamme CH, von der Heide N, Heymann C, Hurschler C. Primary stability of anterior lumbar stabilization: interdependence of implant type and endplate retention or removal.. Eur Spine J 2006; 15 (6) 807-818 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 54 Bullmann V, Fallenberg EM, Meier N et al. The position of the aorta relative to the spine before and after anterior instrumentation in right thoracic scoliosis.. Spine 2006; 31 (15) 1706-1713 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 55 Huitema GC, Cornips EM, Castelijns MH, van Ooij A, van Santbrink H, van Rhijn LW. The position of the aorta relative to the spine: is it mobile or not? Spine 2007; 32(12):1259-1264
  • 56 Maruyama T, Takeshita K, Nakamura K, Kitagawa T. Spatial relations between the vertebral body and the thoracic aorta in adolescent idiopathic scoliosis.. Spine 2004; 29 (18) 2067-2069 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 57 Huitema GC, van Rhijn LW, van Ooij A. Screw position after double-rod anterior spinal fusion in idiopathic scoliosis: an evaluation using computerized tomography.. Spine 2006; 31 (15) 1734-1739 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 59 Matsuzaki H, Tokuhashi Y, Wakabayashi K, Kitamura S. Penetration of a screw into the thoracic aorta in anterior spinal instrumentation. A case report.. Spine 1993; 18 (15) 2327-2331 PubMed
    CrossrefPubMedSearch in Google Scholar
  • 60 Freyrie A, Gasbarrini A, Simoes CE, Gallitto E, Gargiulo M. Delayed presentation of a thoracic aortic injury with a vertebral pedicle screw.. Ann Vasc Surg 2013; 27 (4) 499.e1-499.e3 PubMed
    CrossrefPubMedSearch in Google Scholar