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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2004, Number 3

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Acta Ortop Mex 2004; 18 (3)

Approach retroperitoneal endoscopic transpsoas of the lumbar spine

Pimenta LLH, Da Silva MM, Bellera AF, León PM, Schaffa DT

Language: Spanish
References: 18
Page: 91-95
PDF size: 70.49 Kb.


ABSTRACT

The endoscopic techniques for the retroperitoneal approach of the anterior lumbar spine for the treatment of the discal degenerative disease are less aggressive than the conventional ones, provide less risk of lesion of nearer tissues, better recovery and minimum pain. It presents the endoscopic access by the retroperitoneal transpsoas for the discal levels up to L5 and the transiliac-transpsoas approach for the L5-S1 with intersomatic fusion or with PDN (prosthetic disc nucleus). We present 103 patients (37 men and 66 women mean age: 51.8 yrs), 74 treated with intersomatic fusion (40 mm threated cages) for the L2-L3, L3-L4, L4-L5 levels and 29 with PDN for L3-L4, L4-L5, L5-S1. The mean time of surgery was 90 minutes for the transpsoas approach and 100 minutes for the transiliac-transposas, the mean time of hospitalization was 2.3 days. There were complications in the 3.9% of the cases: one with a transient lesion of the raquideal nerve, one psoas abscess, and four with venous lesions which required an open technique. We conclude that endoscopic lateral retroperitoneal transpsoas approach is a secure technique, with lower morbility, surgery meaning time and time of hospitalization.


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