Access to the Lumbosacral Spine: A Current View

• Published in: Revista brasileira de ortopedia Vol. 59; no. 2; pp. e153 - e159
• Main Authors: Araujo Ono, Allan Hiroshi de, Pereira Filho, Aécio Rubens Dias, Araujo, Fernando Flores de, Marcon, Raphael Marthus, Cristante, Alexandre Fogaça, Barros Filho, Tarcisio Eloy de Pessoa
• Format: Journal Article
• Language: English
• Published: Germany Thieme Revinter Publicações Ltda 01.04.2024; Sociedade Brasileira de Ortopedia e Traumatologia
• Subjects: Artigo de Atualização; ORTHOPEDICS; lumbosacral region/surgery; spine/surgery; arthrodesis; spinal fusion; coluna vertebral/cirurgia; fusão vertebral; artrodese; região lombossacral
• ISSN: 0102-3616; 1982-4378; 1982-4378
• DOI: 10.1055/s-0044-1785462

The surgical approach to the lumbosacral spine has been the subject of experimental and scientific anatomical studies since the Hippocratic era. However, it was in the 20th century that, with the evolution of asepsis and antibiotic therapy, spine surgery began to evolve at breakneck speed, and the various possibilities of access roads became objects of development and discussion. As a result, pathologies of the lumbosacral spine can be accessed in different ways and positions, from the traditional posterior approach in the prone position to the anterior, oblique, lateral, and endoscopic approaches. The current article brings state-of-the-art access routes to the lumbosacral spine. This article objective is to elucidate the possibilities of accesses the lumbar spine for any purposes, as decompression, fusion, tumour resections, reconstruction or deformity correction, despites type of implants or implants positioning.