Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Lumbar Corpectomy by Using Anterior Midline Route

  • Maeng, Dae-Hyeon (Departments of Thoracic Surgery, Gimpo Airport Wooridul Spine Hospital) ;
  • Choi, Seok-Min (Department of Neurosurgery, Spine Center, Myongji St. Mary's Hospital) ;
  • Lee, Sang-Ho (Departments of Neurosurgery, Gimpo Airport Wooridul Spine Hospital)
  • Published : 2005.11.28
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Abstract

Direct anterior approach for lesions located anterior to the thecal sac is definitely superior to lateral or posterior approach in many respects. However, various anatomical obstacles and technical difficulties often hinder direct anterior approach. Thanks to ripe experience of retroperitoneal approach to the lumbar spine for anterior lumbar interbody fusion and total disc replacement, the authors could perform lumbar corpectomy and reconstruction by using midline retroperitoneal approach recently. During this approach, we repaired anterior longitudinal ligament also to reduce the risk of graft extrusion and to prevent erosion of vascular wall due to direct contact between metallic hardware, which was used for reconstruction of vertebral body, and major vessels.

Keywords

References

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