Lateral decubitus anterior exposure of the L4-5 disc maintains safety compared with supine positioning.

ABSTRACT:

Background

Anterior retroperitoneal lumbar spinal exposure has traditionally been performed in the supine position (SUP) to access the L4-L5 and L5-S1 disc spaces where lateral approaches may be unsafe. However, advancements in lateral single position surgery have resulted in advocacy for anterior L4-5 disc access in the lateral decubitus position (LAT). While L5-S1 access in the lateral position is well-described, no series of L4-5 anterior access in the lateral position has been published. The study aims to evaluate the safety of anterior lumbar exposure at the L4-5 disc level in the LAT compared to the SUP.

Methods

A multi-center retrospective study of patients who underwent anterior retroperitoneal lumbar exposure involving the L4-5 disc level were classified according t

SUBMITTER: Huynh NV 

PROVIDER: S-EPMC11467285 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature