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Research ArticleNew Technology

Anatomical Modifications during the Lateral Transpsoas Approach to the Lumbar Spine. The Impact of Vertebral Rotation.

International Journal of Spine Surgery January 2018, 12 (1) 8-14; DOI: https://doi.org/10.14444/5002
1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
MD
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1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
MD
  • Find this author on PubMed
1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
DO
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1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
BS
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1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
MD
  • Find this author on PubMed
1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
MD, MBA
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2Orthopedic Division, Second University of Naples, Naples, Italy
MD
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1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
MD
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1Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center/University Hospital Brooklyn, Brooklyn, New York
MD
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  • Figure 1
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    Figure 1

    Illustration of magnetic resonance imaging parameters using direct measurement of the most anterior aspect of the vertebral disc.

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    Figure 2

    Illustration of magnetic resonance imaging parameters after correcting for axial rotation by considering anterior vertebral body line as the tangent to the vertebral bisector.

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    Figure 3

    Axial magnetic resonance imaging displaying parameters using direct measurement of the most anterior aspect of the vertebral disc and after correcting for axial rotation by considering anterior vertebral body line as the tangent to the vertebral bisector.

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    Figure 4

    Safe surgical corridors in convex and concave side of the lumbar curve by level. In the literature, mean superior and inferior widths of the lumbar vertebrae are reported between 33.5–34.9 mm by Gilad and Nissan.15

  • Figure 5
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    Figure 5

    Safe surgical corridor in convex and concave side of the lumbar curve by level following controlling for axial rotation. In the literature, mean superior and inferior widths of the lumbar vertebrae are reported between 33.5–34.9 mm by Gilad and Nissan.17

  • Figure 6
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    Figure 6

    Influence of vertebral rotation on convex versus concave safe surgical corridor for lateral lumbar interbody fusion.

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International Journal of Spine Surgery
Vol. 12, Issue 1
1 Jan 2018
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Anatomical Modifications during the Lateral Transpsoas Approach to the Lumbar Spine. The Impact of Vertebral Rotation.
ASHISH PATEL, JASON OH, DANTE LEVEN, FRANK S. CAUTELA, DIPAL CHATTERJEE, QAIS NAZIRI, FRANCESCO LANGELLA, BASSEL G. DIEBO, CARL B. PAULINO
International Journal of Spine Surgery Jan 2018, 12 (1) 8-14; DOI: 10.14444/5002

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Anatomical Modifications during the Lateral Transpsoas Approach to the Lumbar Spine. The Impact of Vertebral Rotation.
ASHISH PATEL, JASON OH, DANTE LEVEN, FRANK S. CAUTELA, DIPAL CHATTERJEE, QAIS NAZIRI, FRANCESCO LANGELLA, BASSEL G. DIEBO, CARL B. PAULINO
International Journal of Spine Surgery Jan 2018, 12 (1) 8-14; DOI: 10.14444/5002
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Keywords

  • vertebral rotation
  • lateral lumbar interbody fusion
  • LLIF
  • patient specific approach
  • precision medicine

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