MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS
ABSTRACT Introduction The extreme lateral approach has been widely used for the treatment of degenerative diseases. The objective of this study is to present a minimally invasive extreme lateral approach for the treatment of metastatic lesions in the lumbar spine without the use of the evoked pote...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2018-06-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300191&tlng=en |
| _version_ | 1819008479722995712 |
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| author | LUCAS CASTRILLON CARMO MACHADO DOUGLAS KENJI NARAZAKI WILLIAN GEMIO JACOBSEN TEIXEIRA ALEXANDRE FOGAÇA CRISTANTE MANOEL JACOBSEN TEIXEIRA TARCÍSIO ELOY PESSOA DE BARROS FILHO |
| author_facet | LUCAS CASTRILLON CARMO MACHADO DOUGLAS KENJI NARAZAKI WILLIAN GEMIO JACOBSEN TEIXEIRA ALEXANDRE FOGAÇA CRISTANTE MANOEL JACOBSEN TEIXEIRA TARCÍSIO ELOY PESSOA DE BARROS FILHO |
| author_sort | LUCAS CASTRILLON CARMO MACHADO |
| collection | DOAJ |
| description | ABSTRACT Introduction The extreme lateral approach has been widely used for the treatment of degenerative diseases. The objective of this study is to present a minimally invasive extreme lateral approach for the treatment of metastatic lesions in the lumbar spine without the use of the evoked potential exam (MEP). Methods Two patients with spinal metastases and indication for surgery via the anterior approach were treated in a cancer referral center in Brazil. They were placed in right lateral decubitus, and an oblique incision was made, exposing the psoas muscle. The anterior approach permitted the release of the psoas muscle from vertebral body and disc, without the need for MEP. Conclusions When cancer cure is no longer possible, a minimally invasive extreme lateral approach to treat tumor metastases in the lumbar spine is a viable option, with short hospitalization time and low morbidity. The dislocation of the psoas muscle avoids the use of the transpsoas approach, which requires MEP equipment and a trained physician. Clinical studies are needed to extend these benefits to oncological patients who have treatment options for their primary disease. Level of Evidence IV; Case series. |
| first_indexed | 2024-12-21T00:41:08Z |
| format | Article |
| id | doaj.art-69ba841fc0914662a8f0cb7dc13c52a4 |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-21T00:41:08Z |
| publishDate | 2018-06-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-69ba841fc0914662a8f0cb7dc13c52a42022-12-21T19:21:41ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522018-06-0126319119310.1590/1413-785220182603184457MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASISLUCAS CASTRILLON CARMO MACHADODOUGLAS KENJI NARAZAKIWILLIAN GEMIO JACOBSEN TEIXEIRAALEXANDRE FOGAÇA CRISTANTEMANOEL JACOBSEN TEIXEIRATARCÍSIO ELOY PESSOA DE BARROS FILHOABSTRACT Introduction The extreme lateral approach has been widely used for the treatment of degenerative diseases. The objective of this study is to present a minimally invasive extreme lateral approach for the treatment of metastatic lesions in the lumbar spine without the use of the evoked potential exam (MEP). Methods Two patients with spinal metastases and indication for surgery via the anterior approach were treated in a cancer referral center in Brazil. They were placed in right lateral decubitus, and an oblique incision was made, exposing the psoas muscle. The anterior approach permitted the release of the psoas muscle from vertebral body and disc, without the need for MEP. Conclusions When cancer cure is no longer possible, a minimally invasive extreme lateral approach to treat tumor metastases in the lumbar spine is a viable option, with short hospitalization time and low morbidity. The dislocation of the psoas muscle avoids the use of the transpsoas approach, which requires MEP equipment and a trained physician. Clinical studies are needed to extend these benefits to oncological patients who have treatment options for their primary disease. Level of Evidence IV; Case series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300191&tlng=enMinimally invasive surgical proceduresNeoplasmsNeoplasm metastasisSpineSpinal fusionOperative surgical procedures |
| spellingShingle | LUCAS CASTRILLON CARMO MACHADO DOUGLAS KENJI NARAZAKI WILLIAN GEMIO JACOBSEN TEIXEIRA ALEXANDRE FOGAÇA CRISTANTE MANOEL JACOBSEN TEIXEIRA TARCÍSIO ELOY PESSOA DE BARROS FILHO MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS Acta Ortopédica Brasileira Minimally invasive surgical procedures Neoplasms Neoplasm metastasis Spine Spinal fusion Operative surgical procedures |
| title | MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS |
| title_full | MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS |
| title_fullStr | MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS |
| title_full_unstemmed | MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS |
| title_short | MINIMALLY INVASIVE EXTREME LATERAL APPROACH IN SPINAL LUMBAR METASTASIS |
| title_sort | minimally invasive extreme lateral approach in spinal lumbar metastasis |
| topic | Minimally invasive surgical procedures Neoplasms Neoplasm metastasis Spine Spinal fusion Operative surgical procedures |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300191&tlng=en |
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