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Lumbar Corpectomy

  • Danny Lee
  • Ryan Lee
  • Jeffrey H. Weinreb
  • Uchechi Iweala
  • Joseph R. O’Brien
Chapter
First Online:

Abstract

Indications for lumbar corpectomy in addressing spinal pathology include neurological dysfunction, axial instability pain, and intractable radicular pain that may have resulted from deterioration of the vertebral body via malignancy, infection, and trauma/fracture that requires direct decompression of the spinal canal to prevent increasing pathological kyphosis. Traditionally, open anterior approaches have been associated with injury to the great vessels, ureters, abdominal wall, and greater incisional pain, whereas posterior approaches compromise paraspinal musculature. With proper patient selection, lateral approaches to lumbar corpectomy theoretically avoid these complications. With the advent of minimally invasive surgery (MIS) of the spine, new MIS approaches are gaining in popularity due to advantages in decreased soft-tissue trauma, postoperative pain, blood loss, and immobilization. However, this minimally invasive lateral approach to the thoracolumbar spine is not without risks. This chapter will focus on the lateral access for lumbar corpectomy and its associated outcomes previously reported in the literature.

Keywords

Lumbar corpectomy Lateral approach Spinal fusion 
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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Danny Lee
    • 1
  • Ryan Lee
    • 1
  • Jeffrey H. Weinreb
    • 2
  • Uchechi Iweala
    • 2
  • Joseph R. O’Brien
    • 3
  1. 1.The George Washington University School of Medicine and Health SciencesWashington, DCUSA
  2. 2.Department of Orthopaedic Surgery, The George Washington University HospitalWashington, DCUSA
  3. 3.Washington Spine & Scoliosis Institute at OrthoBethesdaBethesdaUSA

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