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Revision Anterior and Lateral Spinal Access Surgery

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Lumbar Spine Access Surgery

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Abstract

Anterior and lateral approaches in the revision setting for lumbar spine surgery can be a highly effective way to address spinal pathology. However, due to scarring, altered anatomy, and obliterated surgical planes, this undertaking presents unique risks and challenges. The decision of which side (right versus left) or which surgical plane to utilize (retroperitoneal, transperitoneal, or direct lateral) is essential when planning a revision surgery. This chapter reviews the critical concepts regarding which approach is appropriate and how to best avoid and manage complications in the revision setting. Close coordination with a surgical team, consisting of a spine surgeon, access surgeon, endovascular surgeon, urologist, and anesthesiologist, can lead to safe and effective revision surgery from an anterior or lateral approach.

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References

  1. O’Brien MF, Hoyle MR, Kirby RP, Hostin RA. Anterior access to the thoracic and lumbar spine. In: Dubousset J, Challier V, Farcy JP, Schwab FJ, Lafage, editors. Global spinal alignment: principles, pathologies, and procedures. St. Louis, MO: Quality Medical Publishing; 2015. p. 499–509.

    Google Scholar 

  2. Brau SA, Delamarter RB, Kropf MA, Watkins RG III, Williams LA, Schiffman ML, Bae HW. Access strategies for revision in anterior lumbar surgery. Spine. 2008;33(15):1662–7.

    Article  PubMed  Google Scholar 

  3. McAffee PC, Gonz M. Lumbar TDR revision strategies. In: Cheng B, editor. Handbook of spine technology. Cham: Springer; 2019. https://doi.org/10.1007/978-3-319-33037-2_78-1.

    Chapter  Google Scholar 

  4. Wagner WH, Regan JJ, Leary SP, et al. Access strategies for revision of the spine for removal of lumbar devices and implants. Spine. 2006;31:2449–53.

    Article  Google Scholar 

  5. Wagner WH, Regan JJ, Leary SP, Lanman TH, Johnson JP, Rao RK, Cossman DV. Access strategies for revision or explantation of the Charite lumbar artificial disc replacement. J Vasc Surg. 2006;44(6):1266–72.

    Article  PubMed  Google Scholar 

  6. Freeman BJ, Davenport J. Total disc replacement in the lumbar spine: a systematic review of the literature. Eur Spine J. 2006;15(3):439–47.

    Article  PubMed Central  Google Scholar 

  7. Yue JJ, Sumpio B. Use of spinal vessel protection to facilitate anterior revision surgery. New Haven, CT: Yale University School of Medicine White Paper; 2009.

    Google Scholar 

  8. Schwender JD, Casnellie MT, Perra JH, Transfeldt EE, Pinto MR, Denis F, et al. Perioperative complications in revision anterior lumbar spine surgery: incidence and risk factors. Spine. 2009;34(1):87–90.

    Article  PubMed  Google Scholar 

  9. Gumbs AA, Hanan S, Yue JJ, Shah RV, Sumpio B. Revision open anterior approaches for spine procedures. Spine J. 2007;7(3):280–5.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Methodist Hospital for Surgery in Addison, Addison, TX, USA

    R. Mark Hoyle

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  1. R. Mark Hoyle
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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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© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Hoyle, R.M. (2023). Revision Anterior and Lateral Spinal 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_24

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  • DOI: https://doi.org/10.1007/978-3-031-48034-8_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-48033-1

  • Online ISBN: 978-3-031-48034-8

  • eBook Packages: MedicineMedicine (R0)

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