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Overview of Anterior Lumbar Spine Access Surgery

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Lumbar Spine Access Surgery

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Abstract

Surgical access to the anterior lumbar spine was first described in the 1700s and became technically feasible and more widespread in the 1900s. Initially utilized for spinal tuberculosis, the approach was adapted and developed to address spondylolisthesis and lumbar disc herniation. Modern anterior lumbar access can be employed to address trauma, infection, deformity, nonunion, neurologic compression from traumatic or degenerative conditions, and tumors. The goal of this chapter is to help familiarize those involved in the care of spine surgery patients with an overview of anterior lumbar spine access surgery including relevant history, anatomy, pathophysiology, surgical indications and contraindications, risks, contemporary uses, and future directions.

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Authors and Affiliations

  1. School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA

    Emile-Victor Kuyl & Thomas Hong

  2. Department of Orthopedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Tyler Pease & Jeffrey B. Weinreb

  3. Department of Orthopedic Surgery, The George Washington University, Washington, DC, USA

    Jeffrey B. Weinreb

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  1. Emile-Victor Kuyl
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  2. Thomas Hong
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  3. Tyler Pease
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  4. Jeffrey B. Weinreb
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Editors and Affiliations

  1. Aligned Orthopaedics, Bethesda, MD, USA

    Joseph R. O'Brien

  2. Department of Orthopedic Surgery, The George Washington University, Washington, DC, USA

    Jeffrey B. Weinreb

  3. Vascular Surgery, Inova Health System, Falls Church, VA, USA

    Joseph C. Babrowicz

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Kuyl, EV., Hong, T., Pease, T., Weinreb, J.B. (2023). Overview of Anterior Lumbar Spine Access Surgery. In: O'Brien, J.R., Weinreb, J.B., Babrowicz, J.C. (eds) Lumbar Spine Access Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-48034-8_1

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