Minimally invasive lateral retroperitoneal transpsoas approach for lumbar corpectomy and fusion with posterior instrumentation

Abstract

In this video, the authors highlight the operative treatment of a 55-year-old man with chronic osteomyelitis discitis. The operation entailed a minimally invasive lateral retroperitoneal transpsoas approach for L3 and L4 corpectomies, L2–5 interbody fusion, and L2–5 minimally invasive posterior instrumentation. The operation proceeded in two stages, beginning in the lateral position with corpectomy of the L3 and L4 vertebral bodies and placement of a corpectomy cage. After closure of this access wound, the patient was turned to a prone position for the posterior element of the operation. Posterior instrumentation was placed with pedicle screws at L2 and L5. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID2210

Oblique anterior column realignment with a mini-open posterior column osteotomy for minimally invasive adult spinal deformity correction: illustrative case

“…[13][14][15] One increasingly attractive option for these patients is the use of anterior column realignment (ACR) with a minimally invasive approach. This approach has lower associated trauma to the paraspinal musculature 16 and attempts to physiologically reverse the deformity through selective anterior column elongation. Although purely minimally invasive approaches may not be feasible for rigid deformities, they can be preferrable in patients with flexible or smaller deformities, especially in light of advances in preoperative planning software.…”