Mini-open lateral retroperitoneal lumbar spine approach using psoas muscle retraction technique. Technical report and initial results on six patients

作者：Aghayev Kamran^*; Vrionis Frank D

来源：European Spine Journal, 2013, 22(9): 2113-2119.

DOI：10.1007/s00586-013-2931-1

• Retroperitoneal approach
• Interbody fusion
• Psoas muscle
• Lumbar plexus

The main aim of this paper was to report reproducible method of lumbar spine access via a lateral retroperitoneal route. %26lt;br%26gt;The authors conducted a retrospective analysis of the technical aspects and clinical outcomes of six patients who underwent lateral multilevel retroperitoneal interbody fusion with psoas muscle retraction technique. The main goal was to develop a simple and reproducible technique to avoid injury to the lumbar plexus. %26lt;br%26gt;Six patients were operated at 15 levels using psoas muscle retraction technique. All patients reported improvement in back pain and radiculopathy after the surgery. The only procedure-related transient complication was weakness and pain on hip flexion that resolved by the first follow-up visit. %26lt;br%26gt;Psoas retraction technique is a reliable technique for lateral access to the lumbar spine and may avoid some of the complications related to traditional minimally invasive transpsoas approach.

• 出版日期2013-9