The Role of Anterior Spine Surgery in Deformity Correction

Hanci Zhang; Leah Y Carreon; John R Dimar 2nd

doi:10.1016/j.nec.2023.06.005

The Role of Anterior Spine Surgery in Deformity Correction

Neurosurg Clin N Am. 2023 Oct;34(4):545-554. doi: 10.1016/j.nec.2023.06.005.

Authors

Hanci Zhang¹, Leah Y Carreon², John R Dimar 2nd³

Affiliations

¹ Norton Leatherman Spine Center, 210 East Gray Street, Suite 900, Louisville, KY 40202, USA.
² Norton Leatherman Spine Center, 210 East Gray Street, Suite 900, Louisville, KY 40202, USA. Electronic address: leah.carreon@nortonhealthcare.org.
³ Norton Leatherman Spine Center, 210 East Gray Street, Suite 900, Louisville, KY 40202, USA; Department of Orthopaedic Surgery, University of Louisville School of Medicine, 550 S. Jackson St., 1st Floor ACB, Louisville, KY 40202, USA.

PMID: 37718101
DOI: 10.1016/j.nec.2023.06.005

Abstract

There are a range of anterior-based approaches to address flexible adult spinal deformity from the thoracic spine to the sacrum, with each approach offering access to a range of vertebral levels. It includes the transperitoneal (L5-S1), paramedian anterior retroperitoneal (L3-S1), oblique retroperitoneal (L1-2 to L5-S1), the thoracolumbar transdiaphragmatic approach (T9-10 to L4-5), and thoracotomy approach (T4-T12). The lumbar and lumbosacral spine is especially favorable for anterior-based approaches given the relative mobility of the peritoneal organs and position of the vasculature.

Keywords: Adult spine deformity; Anterior approach; Surgical technique.

Publication types

Review

MeSH terms

Adult
Humans
Lumbosacral Region*
Pelvis*
Sacrococcygeal Region
Sacrum