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Positioning and Safety

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Lateral Access Minimally Invasive Spine Surgery

Abstract

The lateral decubitus position has classically been used in spine surgery to gain lateral access to the vertebral column via thoracotomy and retroperitoneal approaches [1, 2]. In some cases – particularly those requiring corpectomy – a lateral approach is preferred to gain sufficient access with decreased risk to the neural elements compared to posterior approach. Currently, with the rising popularity of the minimally invasive lateral lumbar interbody fusion which was developed in the 2000s, it is more important than ever for spine surgeons to understand proper lateral decubitus positioning in order to optimize exposure and minimize the risk of iatrogenic injury to the patient [3–5].

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Correspondence to Michael W. Groff .

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Vasudeva, V.S., Abd-El-Barr, M.M., Lu, Y., Groff, M.W. (2017). Positioning and Safety. In: Wang, M., Sama, A., Uribe, J. (eds) Lateral Access Minimally Invasive Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-28320-3_8

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  • DOI: https://doi.org/10.1007/978-3-319-28320-3_8

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