Abstract
The implantation of a « Charité » prosthesis has to be solved through a biomechanical compromise between the size of the implants and it’s positioning in the intervertebral space. A retroperitoneal approach allows one to minimise complications and especially to see and protect the hypogastric nerve. Generally, the anatomy of the great vessels offers a wide approach on the anterior aspect of the disc, except in the case of a high bifurcation of the vena cava with a left iliac vena outside and over the iliac artery and having a straight downwards direction. This situation is infrequent, 1 for 1,000 anterior approaches in our experience.
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Lemaire, J.P. Technical factors for inserting a « Charité » type lumbar disc prosthesis. Interact Surg 3, 206–208 (2008). https://doi.org/10.1007/s11610-007-0041-7
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DOI: https://doi.org/10.1007/s11610-007-0041-7