Anatomic features of the paramedian muscle-splitting approaches to the lumbar spine

Neurosurgery
Daniel J HohStephen L Ritland

Abstract

Intermuscular approaches can expose the lumbar spine and minimize muscular trauma and injury. The segmental anatomy of the posterior lumbar musculature allows surgical access through separation of muscle groups and fascicles and provides one to develop intermuscular working channels while preserving the integrity of the muscles and their function. In addition, preservation of the accompanying neurovascular bundles minimizes blood loss, tissue atrophy, and pain. With these approaches, a variety of procedures for decompression, discectomy, interbody fusion, or pedicle screw fixation can be achieved for single or multiple levels without subperiosteal stripping or muscle transection. A detailed description of the relevant surgical anatomy for the muscle-sparing approach to the lumbar spine.

References

Nov 1, 1977·Clinical Orthopaedics and Related Research·L L Wiltse
Jan 1, 1972·The American Journal of Anatomy·E W Donisch, J V Basmajian
Aug 5, 2003·Spine·Kevin T FoleyJames D Schwender
Mar 30, 2004·Neurosurgery·Enrico Tessitore, Nicolas de Tribolet
Aug 11, 2007·Journal of Neurosurgery. Spine·Edgar Newman Weaver

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Citations

Aug 14, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Xiaofei ChengHuapeng Guan
Feb 19, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Zhi-Jun HuShun-Wu Fan

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