{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T21:40:28Z","timestamp":1681594828411},"reference-count":13,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>The authors present the first reported use of the lateral retroperitoneal transpsoas approach for interbody arthrodesis in a patient with achondroplastic dwarfism. The inherent anatomical abnormalities of the spine present in achondroplastic dwarfism predispose these patients to an increased incidence of spinal deformity as well as neurogenic claudication and potential radicular symptoms. The risks associated with prolonged general anesthesia and intolerance of significant blood loss in these patients makes them ideal candidates for minimally invasive spinal surgery. The patient in this case was a 51-year-old man with achondroplastic dwarfism who had a history of progressive claudication and radicular pain despite previous extensive lumbar laminectomies. The lateral retroperitoneal transpsoas approach was used for placement of interbody cages at L1\/2, L2\/3, L3\/4, and L4\/5, followed by posterior decompression and pedicle screw instrumentation. The patient tolerated the procedure well with no complications. Postoperatively his claudicatory and radicular symptoms resolved and a CT scan revealed solid arthrodesis with no periimplant lucencies.<\/jats:p>","DOI":"10.3171\/2014.10.spine14300","type":"journal-article","created":{"date-parts":[[2014,11,21]],"date-time":"2014-11-21T15:09:51Z","timestamp":1416582591000},"page":"162-165","source":"Crossref","is-referenced-by-count":1,"title":["Lateral retroperitoneal transpsoas interbody fusion in a patient with achondroplastic dwarfism"],"prefix":"10.3171","volume":"22","author":[{"given":"Blake N.","family":"Staub","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul J.","family":"Holman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine14300","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"314","DOI":"10.3171\/2013.6.SPINE1340","article-title":"Minimally invasive lateral retroperitoneal transpsoas interbody fusion for L4-5 spondylolisthesis: clinical outcomes","volume":"19","author":"Ahmadian","year":"2013"},{"key":"b2-spine14300","series-title":"Curr Opin Pediatr","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1097\/MOP.0b013e328013e3d9","article-title":"Advances in understanding etiology of achondroplasia and review of management","volume":"19","author":"Carter","year":"2007"},{"issue":"3","key":"b3-spine14300","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/2010.1.FOCUS09282","article-title":"Early outcomes and safety of the minimally invasive, lateral retroperitoneal transpsoas approach for adult degenerative scoliosis","volume":"28","author":"Dakwar","year":"2010"},{"key":"b4-spine14300","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1097\/BPO.0b013e3181aa819c","article-title":"Lumbar fusion in achondroplasia: does fusion to the sacrum affect function?","volume":"29","author":"Farmer","year":"2009"},{"key":"b5-spine14300","series-title":"Surg Radiol Anat","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1007\/s00276-011-0881-z","article-title":"The lumbosacral plexus: anatomic considerations for minimally invasive retroperitoneal transpsoas approach","volume":"34","author":"Gu\u00e9rin","year":"2012"},{"issue":"26 Suppl","key":"b6-spine14300","series-title":"Spine","doi-asserted-by":"publisher","first-page":"S322","DOI":"10.1097\/BRS.0b013e3182022e04","article-title":"A prospective, nonrandomized, multicenter evaluation of extreme lateral interbody fusion for the treatment of adult degenerative scoliosis: perioperative outcomes and complications","volume":"35","author":"Isaacs","year":"2010"},{"key":"b7-spine14300","series-title":"J Bone Joint Surg Br","first-page":"1192","article-title":"MRI study of the lumbar spine in achondroplasia. 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