Anterior Column Realignment: Adult Sagittal Deformity Treatment Through Minimally Invasive Surgery

Neurosurg Clin N Am. 2023 Oct;34(4):633-642. doi: 10.1016/j.nec.2023.06.010. Epub 2023 Jul 23.

Abstract

This article focuses on the treatment of sagittal spinal deformity using a minimally invasive technique, anterior column realignment. Traditional methods to address sagittal spine deformity have been associated with high morbidity, long operative times, and excessive blood loss. This technique uses a minimally invasive lateral retroperitoneal approach to release the anterior longitudinal ligament and apply a hyperlordotic implant for interbody fusion to restore lumbar lordosis and sagittal alignment.

Keywords: Anterior column release; Anterior longitudinal ligament; Lateral lumbar interbody fusion; Lordosis; Minimally invasive spine surgery; Sagittal imbalance; Spinal deformity.

Publication types

  • Review

MeSH terms

  • Adult
  • Animals
  • Humans
  • Longitudinal Ligaments
  • Lordosis* / diagnostic imaging
  • Lordosis* / surgery
  • Minimally Invasive Surgical Procedures*