A lateral approach, consisting of a modified transversectomy, hemilaminectomy, and adequate transversectomy with costectomy of 7-8 cm, was used to treat four cases of anterior or anterolateral thoracic lesions, including two cases of thoracic disc herniations, one of thoracic meningioma, and one of hypertrophic pachymeningitis. All patients presented with gait disturbance, but recovered well po...

OBJECT The thoracolumbar junction (T11-L2) poses an anatomical dilemma, given the presence of the lower rib cage and the diaphragm when performing anterolateral approaches. To circumvent dealing with the diaphragm, a minimally invasive lateral extracoelomic approach has been used to approach the thoracolumbar junction by mobilizing the diaphragm anteriorly. No anatomical studies have described ...

conclusions this approach may be an appropriate approach to the zygomatic arch in the zmc fractures and eliminates the use of the coronal flap. introduction zygomatic arch fractures are common injuries in the maxillofacial injuries. sometimes it is necessary to fix the unstable fragments of the zygomatic arch. case presentation we introduce a combination of transconjunctival and lateral canthot...

We describe a modified lateral approach to the hip which exploits the function continuity of gluteus medius and vastus lateralis and their dense crescentic attachment to the greater trochanter. The gluteus medius is not incised or split, but is detached and mobilised with gluteus minimus as one unit. This facilitates reattachment of the glutei and helps to preserve abductor function.

Extreme lateral interbody fusion (XLIF) (NuVasive Inc., San Diego, CA) and direct lateral interbody fusion (DLIF) (Medtronic Sofamor Danek, Memphis, TN) are novel minimally invasive transpsoas approaches to the lumbar spine for performing interbody fusions. Advantages of interbody fusions over posterolateral fusion have been detailed and include theoretically higher fusion rates, the possibilit...

We report the case of a 73-year-old female with severe degenerative scoliosis and back and leg pain that wassuccessfully treated with stand- alone cages via an extreme lateral transpsoas approach. This patient had declinedopen surgery and instrumentation due to her advanced age concerns about potential side effects.