Lateral Prepsoas (Oblique) Approach Nuances

Anthony M DiGiorgio; Caleb S Edwards; Michael S Virk; Dean Chou

doi:10.1016/j.nec.2018.02.003

Lateral Prepsoas (Oblique) Approach Nuances

Neurosurg Clin N Am. 2018 Jul;29(3):419-426. doi: 10.1016/j.nec.2018.02.003.

Authors

Anthony M DiGiorgio¹, Caleb S Edwards², Michael S Virk³, Dean Chou⁴

Affiliations

¹ Department of Neurosurgery, Louisiana State University Health Sciences Center, 2020 Gravier Street, 7th Floor, New Orleans, LA 70120, USA. Electronic address: [email protected].
² Department of Neurological Surgery, School of Medicine, University of California, San Francisco, 505 Parnassus Avenue, Room 779 M, San Francisco, CA 94143, USA.
³ Department of Neurological Surgery, Weill Cornell Medicine, New York Presbyterian, 525 East 68th Street, Starr 651, Box 99, New York, NY 10065, USA.
⁴ Department of Neurological Surgery, University of California, San Francisco, 505 Parnassus Avenue, Box 0112, San Francisco, CA 94143, USA.

PMID: 29933809
DOI: 10.1016/j.nec.2018.02.003

Abstract

The prepsoas oblique approach to the lumbar spine provides many similar benefits of the transpsoas lateral approach. Because the psoas is not traversed, however, many of the postoperative complications associated with psoas violation are reduced. Working at an oblique angle to the spine can be challenging and the approach may be unfamiliar for the surgeon. Thais article provides a technical description and nuances of the approach.

Keywords: Interbody fusion; Lumbar fusion; Lumbar spine; Prepsoas.

Publication types

Review

MeSH terms

Bone Transplantation / methods
Humans
Intraoperative Complications / prevention & control
Lumbar Vertebrae / surgery*
Postoperative Complications / prevention & control
Spinal Diseases / surgery*
Spinal Fusion / methods*
Treatment Outcome