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Journal of Korean Neurosurgical Society 2005;38(5): 399-402.
Lumbar Corpectomy by Using Anterior Midline Route.
Dae Hyeon Maeng, Seokmin Choi, Sang ho Lee
1Department of Thoracic Surgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea.
2Department of Neurosurgery, Gimpo Airport Wooridul Spine Hospital, Seoul, Korea.
3Department of Neurosurgery, Spine Center, Myongji St. Mary's Hospital, Seoul, Korea. nsseokmin@krpost.net
ABSTRACT
Direct anterior approach for lesions located anterior to the thecal sac is definitely superior to lateral or posterior approach in many respects. However, various anatomical obstacles and technical difficulties often hinder direct anterior approach. Thanks to ripe experience of retroperitoneal approach to the lumbar spine for anterior lumbar interbody fusion and total disc replacement, the authors could perform lumbar corpectomy and reconstruction by using midline retroperitoneal approach recently. During this approach, we repaired anterior longitudinal ligament also to reduce the risk of graft extrusion and to prevent erosion of vascular wall due to direct contact between metallic hardware, which was used for reconstruction of vertebral body, and major vessels.
Key Words: Lumbar; Corpectomy; Midline; Anterior longitudinal ligament
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