Technical nuances and approach-related morbidity of anterolateral and posterolateral lumbar corpectomy approaches—a systematic review of the literature - Takeaways - MDSpire
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A Systematic Review of the Technical Considerations and Morbidity Associated with Anterolateral versus Posterolateral Approaches in Lumbar Corpectomy

  • By

  • Christoph Wipplinger

  • Sara Lener

  • Christoph Orban

  • Tamara M. Wipplinger

  • Anto Abramovic

  • Anna Lang

  • Sebastian Hartmann

  • Claudius Thomé

  • June 11, 2022

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  • 1

    Lumbar corpectomies are complex procedures indicated for trauma, osteoporosis, or neoplastic infiltration of vertebral bodies.

  • 2

    Anterolateral (AL) and posterolateral (PL) approaches differ significantly due to anatomical challenges and visualization.

  • 3

    AL approaches are traditionally preferred for direct access but often require additional posterior instrumentation for stability.

  • 4

    PL approaches allow early visualization of neural structures but complicate vertebral body replacement due to lumbar nerve roots.

  • 5

    The systematic review included 64 articles with 702 patients, analyzing outcomes and complications of AL and PL lumbar corpectomies.

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