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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
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.
Bassani R, Gregori F, Peretti G. Evolution of the anterior approach in lumbar spine fusion. World Neurosurg. 2019;131:391–8.
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.
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.
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.
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.
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.
Muller W. Transperitoneale freilegung der wirbelsaule bei tuberkuloser spondylitis [Transperitoneal exposure of the spine in tuberculosis spondylitis]. Dtsch Ztschr Chir. 1906;85:128.
Albee FH. Transplantation of a portion of the tibia into the spine for Pott’s disease. J Am Med Assoc. 1911;57:885–6.
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.
Ito H, Tsuchiya J, Asami G. A new radical operation for Pott’s disease. J Bone Jt Surg. 1934;16(3):499–515.
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.
Capener N. Spondylolisthesis. Br J Surg. 1932;19(75):374–86.
Burns BH. An operation for spondylolisthesis. Lancet. 1933;221:1233.
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.
Lane JD Jr, Moore ES Jr. Transperitoneal approach to the intervertebral disc in the lumbar area. Ann Surg. 1948;127(3):537–51.
Iwahara T. A new method of vertebral body fusion. Surgery. 1944;8:271–87.
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.
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.
Harmon PH. Anterior extraperitoneal lumbar disk excision and vertebral body fusion. Clin Orthop Relat Res. 1960;18:169–98.
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.
Dwyer AF, Newton NC, Sherwood AA. An anterior approach to scoliosis. A preliminary report. Clin Orthop Relat Res. 1969;62:192–202.
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.
Stauffer RN, Coventry MB. Anterior interbody lumbar spine fusion. Analysis of Mayo Clinic series. J Bone Joint Surg Am. 1972;54(4):756–68.
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.
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.
Sacks S. Anterior interbody fusion of the lumbar spine. Indications and results in 200 cases. Clin Orthop Relat Res. 1966;44:163–70.
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.
Crock HV. Anterior lumbar interbody fusion: indications for its use and notes on surgical technique. Clin Orthop Relat Res. 1982;165:157–63.
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.
Fraser RD. A wide muscle-splitting approach to the lumbosacral spine. J Bone Joint Surg Br. 1982;64(1):44–6.
Obenchain TG. Laparoscopic lumbar discectomy: case report. J Laparoendosc Surg. 1991;1(3):145–9.
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.
Vazquez RM, Gireesan GT. Balloon-assisted endoscopic retroperitoneal gasless (BERG) technique for anterior lumbar interbody fusion (ALIF). Surg Endosc. 2003;17(2):268–72.
Inamasu J, Guiot BH. Laparoscopic anterior lumbar interbody fusion: a review of outcome studies. Minim Invasive Neurosurg. 2005;48(6):340–7.
Mayer HM. A new microsurgical technique for minimally invasive anterior lumbar interbody fusion. Spine (Phila Pa 1976). 1997;22(6):691–9; discussion 700.
Fraser RD, Gogan WJ. A modified muscle-splitting approach to the lumbosacral spine. Spine (Phila Pa 1976). 1992;17(8):943–8.
Tay BB, Berven S. Indications, techniques, and complications of lumbar interbody fusion. Semin Neurol. 2002;22(2):221–30.
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.
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.
Seddon HJ. Pott’s paraplegia: prognosis and treatment. Br J Surg. 1935;22:769–99.
Capener N. The evolution of lateral rhachotomy. J Bone Joint Surg Br. 1954;36-B(2):173–9.
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.
Lifshutz J, Lidar Z, Maiman D. Evolution of the lateral extracavitary approach to the spine. Neurosurg Focus. 2004;16(1):E12.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-031-48034-8_2
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-48033-1
Online ISBN: 978-3-031-48034-8
eBook Packages: MedicineMedicine (R0)