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. 2022 Jul 1;7(1):V7.
doi: 10.3171/2022.3.FOCVID2210. eCollection 2022 Jul.

Minimally invasive lateral retroperitoneal transpsoas approach for lumbar corpectomy and fusion with posterior instrumentation

Ethan S Srinivasan  1 , Timothy Y Wang  2 , Anna Rapoport  2 , Melissa M Erickson  3 , Muhammad M Abd-El-Barr  2 , Christopher I Shaffrey  2 , Khoi D Than  2
Affiliations

Minimally invasive lateral retroperitoneal transpsoas approach for lumbar corpectomy and fusion with posterior instrumentation

Ethan S Srinivasan et al. Neurosurg Focus Video. .

Abstract

In this video, the authors highlight the operative treatment of a 55-year-old man with chronic osteomyelitis discitis. The operation entailed a minimally invasive lateral retroperitoneal transpsoas approach for L3 and L4 corpectomies, L2-5 interbody fusion, and L2-5 minimally invasive posterior instrumentation. The operation proceeded in two stages, beginning in the lateral position with corpectomy of the L3 and L4 vertebral bodies and placement of a corpectomy cage. After closure of this access wound, the patient was turned to a prone position for the posterior element of the operation. Posterior instrumentation was placed with pedicle screws at L2 and L5. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID2210.

Keywords: lateral corpectomy; minimally invasive; osteomyelitis; retroperitoneal transpsoas; spine surgery.

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Conflict of interest statement

Disclosures Dr. Erickson reported other from Medtronic, Globus, and DePuy Synthes, outside the submitted work. Dr. Abd-El-Barr reported other from Spineology, DePuy Synthes, and Trackx, outside the submitted work. Dr. Shaffrey reported personal fees from NuVasive, Medtronic, Zimmer Biomet, SI Bone, and Proprio, outside the submitted work. Dr. Than reported personal fees from Bioventus, DePuy Synthes, Accelus, and Globus, outside the submitted work.Dr. Erickson reported other from Medtronic, Globus, and DePuy Synthes, outside the submitted work. Dr. Abd-El-Barr reported other from Spineology, DePuy Synthes, and Trackx, outside the submitted work. Dr. Shaffrey reported personal fees from NuVasive, Medtronic, Zimmer Biomet, SI Bone, and Proprio, outside the submitted work. Dr. Than reported personal fees from Bioventus, DePuy Synthes, Accelus, and Globus, outside the submitted work.

References

    1. McHenry MC, Easley KA, Locker GA. Vertebral osteomyelitis: long-term outcome for 253 patients from 7 Cleveland-area hospitals. Clin Infect Dis. 2002;34(10):1342–1350. - PubMed
    1. Aryan HE, Lu DC, Acosta FL, Jr, Ames CP. Corpectomy followed by the placement of instrumentation with titanium cages and recombinant human bone morphogenetic protein-2 for vertebral osteomyelitis. J Neurosurg Spine. 2007;6(1):23–30. - PubMed
    1. Liljenqvist U, Lerner T, Bullmann V, Hackenberg L, Halm H, Winkelmann W. Titanium cages in the surgical treatment of severe vertebral osteomyelitis. Eur Spine J. 2003;12(6):606–612. - PMC - PubMed
    1. Podet AG, Morrow KD, Robichaux JM, Shields JA, DiGiorgio AM, Tender GC. Minimally invasive lateral corpectomy for thoracolumbar traumatic burst fractures. Neurosurg Focus. 2020;49(3):E12. - PubMed
    1. Yagdiran A, Otto-Lambertz C, Lingscheid KM, et al. Quality of life and mortality after surgical treatment for vertebral osteomyelitis (VO): a prospective study. Eur Spine J. 2021;30(6):1721–1731. - PubMed

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