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History and Evolution of Anterior Lumbar Spine Access Surgery

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Lumbar Spine Access Surgery

Abstract

Although the posterior approach has been the mainstay since the inception of spine surgery, it has several key limitations which spurred interest in alternative anatomical approaches. Thus, anterior access to the lumbar spine was first developed nearly a century ago. While the techniques have been refined in several ways, the initial descriptions formed the basis for contemporary anterior, lateral, and oblique surgery. Today, these approaches are used for nearly every form of spine pathology, and their indications continue to widen. Every technique has its own advantages and disadvantages. New developments in 3D navigation, robotics, and data science will allow surgeons to continue to innovate to improve patient safety and clinical outcomes.

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References

  1. van Middendorp JJ, Sanchez GM, Burridge AL. The Edwin Smith papyrus: a clinical reappraisal of the oldest known document on spinal injuries. Eur Spine J. 2010;19(11):1815–23.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Smith AG. Account of a case in which portions of three dorsal vertebrae were removed for the relief of paralysis from fracture, with partial success. N Am Med Surg J. 1829;8(15):94.

    Google Scholar 

  3. Bassani R, Gregori F, Peretti G. Evolution of the anterior approach in lumbar spine fusion. World Neurosurg. 2019;131:391–8.

    Article  PubMed  Google Scholar 

  4. Phan K, Xu J, Scherman DB, Rao PJ, Mobbs RJ. Anterior lumbar interbody fusion with and without an “access surgeon”: a systematic review and meta-analysis. Spine (Phila Pa 1976). 2017;42(10):E592–601.

    Article  PubMed  Google Scholar 

  5. Talia AJ, Wong ML, Lau HC, Kaye AH. Comparison of the different surgical approaches for lumbar interbody fusion. J Clin Neurosci. 2015;22(2):243–51.

    Article  PubMed  Google Scholar 

  6. Matur AV, Mejia-Munne JC, Plummer ZJ, Cheng JS, Prestigiacomo CJ. The history of anterior and lateral approaches to the lumbar spine. World Neurosurg. 2020;144:213–21.

    Article  PubMed  Google Scholar 

  7. Pott P. Farther remarks on the useless state of the lower limbs, in consequence of a curvature of the spine: being a supplement to a former treatise on that subject. 1782. Clin Orthop Relat Res. 2007;460:4–9.

    Article  PubMed  Google Scholar 

  8. Menard V. Causes de la paraplegia dans le mal de Pott. Son traitement chirurgical par l’ouverture direct du foyer tuberculeux des vertebras [Causes of paraplegia in Pott’s disease. Its surgical treatment by directly opening the tuberculous focus of the vertebras]. Rev Orthop. 1894;5:47–64.

    Google Scholar 

  9. Muller W. Transperitoneale freilegung der wirbelsaule bei tuberkuloser spondylitis [Transperitoneal exposure of the spine in tuberculosis spondylitis]. Dtsch Ztschr Chir. 1906;85:128.

    Article  Google Scholar 

  10. Albee FH. Transplantation of a portion of the tibia into the spine for Pott’s disease. J Am Med Assoc. 1911;57:885–6.

    Article  Google Scholar 

  11. Hibbs RA. An operation for progressive spinal deformities: a preliminary report of three cases from the service of the orthopaedic hospital. 1911. Clin Orthop Relat Res. 2007;460:17–20.

    Article  PubMed  Google Scholar 

  12. Ito H, Tsuchiya J, Asami G. A new radical operation for Pott’s disease. J Bone Jt Surg. 1934;16(3):499–515.

    Google Scholar 

  13. Hodgson AR, Stock FE, Fang HS, Ong GB. Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott’s disease of the spine. Br J Surg. 1960;48:172–8.

    Article  CAS  PubMed  Google Scholar 

  14. Capener N. Spondylolisthesis. Br J Surg. 1932;19(75):374–86.

    Article  Google Scholar 

  15. Burns BH. An operation for spondylolisthesis. Lancet. 1933;221:1233.

    Article  Google Scholar 

  16. Mercer W. Spondylolisthesis: with a description of a new method of operative treatment and notes of ten cases. Edinb Med J. 1936;43(9):545–72.

    PubMed  PubMed Central  Google Scholar 

  17. Lane JD Jr, Moore ES Jr. Transperitoneal approach to the intervertebral disc in the lumbar area. Ann Surg. 1948;127(3):537–51.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Iwahara T. A new method of vertebral body fusion. Surgery. 1944;8:271–87.

    Google Scholar 

  19. Iwahara T, Ikeda K, Hirabayashi K. Results of anterior spine fusion by extraperitoneal approach for spondylolysis and spondylolisthesis. Nihon Seikeigeka Gakkai Zasshi. 1963;36:1049–67.

    CAS  PubMed  Google Scholar 

  20. Southwick WO, Robinson RA. Surgical approaches to the vertebral bodies in the cervical and lumbar regions. J Bone Joint Surg Am. 1957;39-A(3):631–44.

    Article  CAS  PubMed  Google Scholar 

  21. Harmon PH. Anterior extraperitoneal lumbar disk excision and vertebral body fusion. Clin Orthop Relat Res. 1960;18:169–98.

    Google Scholar 

  22. Harmon PH. Anterior excision and vertebral body fusion operation for intervertebral disk syndromes of the lower lumbar spine: three-to five-year results in 244 cases. Clin Orthop Relat Res. 1963;26:107–27.

    CAS  PubMed  Google Scholar 

  23. Dwyer AF, Newton NC, Sherwood AA. An anterior approach to scoliosis. A preliminary report. Clin Orthop Relat Res. 1969;62:192–202.

    Article  CAS  PubMed  Google Scholar 

  24. Hodgson AR, Wong SK. A description of a technic and evaluation of results in anterior spinal fusion for deranged intervertebral disk and spondylolisthesis. Clin Orthop Relat Res. 1968;56:133–62.

    Article  CAS  PubMed  Google Scholar 

  25. Stauffer RN, Coventry MB. Anterior interbody lumbar spine fusion. Analysis of Mayo Clinic series. J Bone Joint Surg Am. 1972;54(4):756–68.

    Article  CAS  PubMed  Google Scholar 

  26. Goldner JL, Urbaniak JR, McCollum DE. Anterior disc excision and interbody spinal fusion for chronic low back pain. Orthop Clin North Am. 1971;2(2):543–68.

    Article  CAS  PubMed  Google Scholar 

  27. Flynn JC, Hoque MA. Anterior fusion of the lumbar spine. End-result study with long-term follow-up. J Bone Joint Surg Am. 1979;61(8):1143–50.

    Article  CAS  PubMed  Google Scholar 

  28. Sacks S. Anterior interbody fusion of the lumbar spine. Indications and results in 200 cases. Clin Orthop Relat Res. 1966;44:163–70.

    Article  CAS  PubMed  Google Scholar 

  29. Chow SP, Leong JC, Ma A, Yau AC. Anterior spinal fusion or deranged lumbar intervertebral disc. Spine (Phila Pa 1976). 1980;5(5):452–8.

    Article  CAS  PubMed  Google Scholar 

  30. Crock HV. Anterior lumbar interbody fusion: indications for its use and notes on surgical technique. Clin Orthop Relat Res. 1982;165:157–63.

    Article  Google Scholar 

  31. Inoue S, Watanabe T, Hirose A, et al. Anterior discectomy and interbody fusion for lumbar disc herniation. A review of 350 cases. Clin Orthop Relat Res. 1984;183:22–31.

    Article  Google Scholar 

  32. Fraser RD. A wide muscle-splitting approach to the lumbosacral spine. J Bone Joint Surg Br. 1982;64(1):44–6.

    Article  CAS  PubMed  Google Scholar 

  33. Obenchain TG. Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg. 1991;1(3):145–9.

    Article  CAS  PubMed  Google Scholar 

  34. Mathews HH, Evans MT, Molligan HJ, Long BH. Laparoscopic discectomy with anterior lumbar interbody fusion. A preliminary review. Spine (Phila Pa 1976). 1995;20(16):1797–802.

    Article  CAS  PubMed  Google Scholar 

  35. Vazquez RM, Gireesan GT. Balloon-assisted endoscopic retroperitoneal gasless (BERG) technique for anterior lumbar interbody fusion (ALIF). Surg Endosc. 2003;17(2):268–72.

    Article  CAS  PubMed  Google Scholar 

  36. Inamasu J, Guiot BH. Laparoscopic anterior lumbar interbody fusion: a review of outcome studies. Minim Invasive Neurosurg. 2005;48(6):340–7.

    Article  CAS  PubMed  Google Scholar 

  37. Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion. Spine (Phila Pa 1976). 1997;22(6):691–9; discussion 700.

    Article  CAS  PubMed  Google Scholar 

  38. Fraser RD, Gogan WJ. A modified muscle-splitting approach to the lumbosacral spine. Spine (Phila Pa 1976). 1992;17(8):943–8.

    Article  CAS  PubMed  Google Scholar 

  39. Tay BB, Berven S. Indications, techniques, and complications of lumbar interbody fusion. Semin Neurol. 2002;22(2):221–30.

    Article  PubMed  Google Scholar 

  40. Brau SA. Mini-open approach to the spine for anterior lumbar interbody fusion: description of the procedure, results and complications. Spine J. 2002;2(3):216–23.

    Article  PubMed  Google Scholar 

  41. Bassani R, Querenghi AM, Cecchinato R, et al. A new “keyhole” approach for multilevel anterior lumbar interbody fusion: the perinavel approach-technical note and literature review. Eur Spine J. 2018;27(8):1956–63.

    Article  CAS  PubMed  Google Scholar 

  42. Seddon HJ. Pott’s paraplegia: prognosis and treatment. Br J Surg. 1935;22:769–99.

    Article  Google Scholar 

  43. Capener N. The evolution of lateral rhachotomy. J Bone Joint Surg Br. 1954;36-B(2):173–9.

    Article  CAS  PubMed  Google Scholar 

  44. Larson SJ, Holst RA, Hemmy DC, Sances A Jr. Lateral extracavitary approach to traumatic lesions of the thoracic and lumbar spine. J Neurosurg. 1976;45(6):628–37.

    Article  CAS  PubMed  Google Scholar 

  45. Lifshutz J, Lidar Z, Maiman D. Evolution of the lateral extracavitary approach to the spine. Neurosurg Focus. 2004;16(1):E12.

    Article  PubMed  Google Scholar 

  46. Maiman DJ, Larson SJ, Luck E, El-Ghatit A. Lateral extracavitary approach to the spine for thoracic disc herniation: report of 23 cases. Neurosurgery. 1984;14(2):178–82.

    Article  CAS  PubMed  Google Scholar 

  47. Pimenta L. Lateral endoscopic transpsoas retroperitoneal approach for lumbar spine surgery. Presented at: The VIII Brazilian Spine Society Meeting; 2001; Belo Horizonte, Minas Gerais, Brazil.

    Google Scholar 

  48. Arnold PM, Anderson KK, McGuire RA Jr. The lateral transpsoas approach to the lumbar and thoracic spine: a review. Surg Neurol Int. 2012;3(Suppl 3):S198–215.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg. 2015;1(1):2–18.

    PubMed  PubMed Central  Google Scholar 

  50. Ozgur BM, Aryan HE, Pimenta L, Taylor WR. Extreme Lateral interbody Fusion (XLIF): a novel surgical technique for anterior lumbar interbody fusion. Spine J. 2006;6(4):435–43.

    Article  PubMed  Google Scholar 

  51. Smith WD, Youssef JA, Christian G, Serrano S, Hyde JA. Lumbarized sacrum as a relative contraindication for lateral transpsoas interbody fusion at L5-6. J Spinal Disord Tech. 2012;25(5):285–91.

    Article  PubMed  Google Scholar 

  52. Silvestre C, Mac-Thiong JM, Hilmi R, Roussouly P. Complications and morbidities of mini-open anterior retroperitoneal lumbar interbody fusion: oblique lumbar interbody fusion in 179 patients. Asian Spine J. 2012;6(2):89–97.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Walker CT, Farber SH, Cole TS, et al. Complications for minimally invasive lateral interbody arthrodesis: a systematic review and meta-analysis comparing prepsoas and transpsoas approaches. J Neurosurg Spine. 2019:1–15. https://doi.org/10.3171/2018.9.SPINE18800.

  54. Manzur MK, Samuel AM, Morse KW, et al. Indirect lumbar decompression combined with or without additional direct posterior decompression: a systematic review. Global Spine J. 2022;12(5):980–9.

    Article  PubMed  Google Scholar 

  55. Manzur MK, Steinhaus ME, Virk SS, et al. Fusion rate for stand-alone lateral lumbar interbody fusion: a systematic review. Spine J. 2020;20(11):1816–25.

    Article  PubMed  Google Scholar 

  56. Urakawa H, Sivaganesan A, Vaishnav AS, Sheha E, Qureshi SA. The feasibility of 3D intraoperative navigation in lateral lumbar interbody fusion: perioperative outcomes, accuracy of cage placement and radiation exposure. Global Spine J. 2021;13(3):737–44.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Buckland AJ, Ashayeri K, Leon C, et al. Single position circumferential fusion improves operative efficiency, reduces complications and length of stay compared with traditional circumferential fusion. Spine J. 2021;21(5):810–20.

    Article  PubMed  Google Scholar 

  58. Guiroy A, Carazzo C, Camino-Willhuber G, et al. Single-position surgery versus lateral-then-prone-position circumferential lumbar interbody fusion: a systematic literature review. World Neurosurg. 2021;151:e379–86.

    Article  PubMed  Google Scholar 

  59. North RY, Strong MJ, Yee TJ, Kashlan ON, Oppenlander ME, Park P. Navigation and robotic-assisted single-position prone lateral lumbar interbody fusion: technique, feasibility, safety, and case series. World Neurosurg. 2021;152:221–30. e221

    Article  PubMed  Google Scholar 

  60. Godzik J, Ohiorhenuan IE, Xu DS, et al. Single-position prone lateral approach: cadaveric feasibility study and early clinical experience. Neurosurg Focus. 2020;49(3):E15.

    Article  PubMed  Google Scholar 

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Kelly, N., Lovecchio, F.C., Qureshi, S.A. (2023). History and Evolution 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_2

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  • DOI: https://doi.org/10.1007/978-3-031-48034-8_2

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