Anterior transpedicular instrumentation of the lumbar spine: an anatomical study

Lumbar burst fractures or massive tumorous destruction of the lumbar spine generally require a combined anterior-posterior surgical approach for adequate decompression and stabilization. Anatomical studies in 10 adult cadavers with 100 pedicle screw placements from a single strictly anterior approac...

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Bibliographic Details
Published inJournal of spinal disorders Vol. 5; no. 3; p. 330
Main Authors Hertlein, H, Mittlmeier, T, Schürmann, M, Lob, G
Format Journal Article
LanguageEnglish
Published United States 01.09.1992
Subjects
Adult
Bone Plates
Bone Screws
Female
Humans
Internal Fixators
Lumbar Vertebrae - anatomy & histology
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Radiography
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Summary:Lumbar burst fractures or massive tumorous destruction of the lumbar spine generally require a combined anterior-posterior surgical approach for adequate decompression and stabilization. Anatomical studies in 10 adult cadavers with 100 pedicle screw placements from a single strictly anterior approach showed that this new method represents a safe and promising way for stable lumbar spine instrumentation, avoiding the risks of a bilateral approach. The technique provides a stability comparable with bilateral instrumentation. Exact knowledge of the geometry of the corresponding vertebral bodies and the spinal canal by computed tomography scanning is a prerequisite for this surgical technique. First clinical applications using this technique reconfirm the experiences of the anatomical study.
ISSN:0895-0385
DOI:10.1097/00002517-199209000-00011