Anterior and Lateral Approaches to the Lumbar Spine
Anterior approaches to the lumbar spine are of great interest due to the ability to implant fusion constructs without interference from neural structures. Conventional anterior open approaches are however unappealing due to the potential for serious complications, including bowel and vascular injury. Lateral approaches have improved the risk profile, truly approaching the goal of minimally invasive. This chapter reviews the current open and minimally invasive approaches and introduces the newest fluoroscopic and computed tomographic image-guided advanced techniques for anterior lumbar spine fusion.
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