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Minimally Invasive Lateral Spine Surgery in Trauma

  • Joseph Pyun
  • Tristan Weir
  • Kelley Banagan
  • Steven C. LudwigEmail author
Chapter

Abstract

Thoracolumbar trauma patients present unique challenges to the spine surgeon, whose goals are to prevent primary or secondary neurological injury, enhance neurological recovery, stabilize the spine to promote early mobilization, and minimize surgical morbidity. Minimally invasive surgery (MIS) has become a key tool in the spine surgeon’s armamentarium in the treatment of these potentially fragile patients, as it affords an alternative to traditional open procedures and their associated increased blood loss and infection rates [1, 2]. Specifically, lateral minimally invasive spine surgery (MISS) has recently become a treatment option in this patient population. The development of minimally invasive techniques potentially allows surgeons to better treat spine trauma patients by providing early decompression or stabilization while minimizing the morbidity of surgery. In this chapter, the epidemiology of thoracolumbar spinal cord injuries will be discussed, followed by the indications for the use of lateral MISS procedures versus the conventional open anterior approaches. The surgical technique for lateral MISS will be outlined, as well as the pros and cons of this approach. Finally, a case example will detail the use of lateral MISS in clinical practice.

Keywords

Minimally Invasive Surgery Burst Fracture Anterior Column Spinal Cord Injury Anterior Decompression 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Joseph Pyun
    • 1
  • Tristan Weir
    • 1
  • Kelley Banagan
    • 1
  • Steven C. Ludwig
    • 2
    Email author
  1. 1.Department of OrthopaedicsSpine Division University of MarylandBaltimoreUSA
  2. 2.Department of OrthopaedicsUniversity of MarylandBaltimoreUSA

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