Anterior spinal fusion (ALIF/OLIF/LLIF) with lumbosacral transitional vertebra: A systematic review and proposed treatment algorithm

• Key anterior approaches differences in LSTV include vascular (aortic bifurcation/iliocaval confluence), muscular (psoas) and osseus anatomy (inter-crestal tangent/pubic symphysis), when compared to non-LSTV. • There are increased surgical deviations but not significantly greater complications for...

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Detalles Bibliográficos
Autores principales: Cawley, D.T., Shafafy, R., Agu, O., Molloy, S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10668067/
https://www.ncbi.nlm.nih.gov/pubmed/38021000
http://dx.doi.org/10.1016/j.bas.2023.101713
Descripción
Sumario:• Key anterior approaches differences in LSTV include vascular (aortic bifurcation/iliocaval confluence), muscular (psoas) and osseus anatomy (inter-crestal tangent/pubic symphysis), when compared to non-LSTV. • There are increased surgical deviations but not significantly greater complications for anterior approaches in LSTV. • Vascular awareness while accessing L45 will be in the presence of a more cephalad ABF and ICC with sacralized L5, and access to the deeper L56 level will be in the presence of a more caudal ABF and ICC in lumbarized S1.

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