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CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(02): e153-e159
DOI: 10.1055/s-0044-1785462
DOI: 10.1055/s-0044-1785462
Artigo de Atualização
Coluna
Acesso à coluna lombossacral: Visão atual
Article in several languages: português | EnglishSuporte Financeiro Este estudo não recebeu qualquer financiamento específico de fontes públicas, comerciais ou sem fins lucrativos.
Resumo
A abordagem cirúrgica da coluna lombossacral tem sido objeto de estudos anatômicos experimentais e científicos desde a era hipocrática. Contudo, foi no século XX que, com a evolução da assepsia e da antibioticoterapia, a cirurgia da coluna começou a evoluir em velocidade vertiginosa e as diversas possibilidades de vias de acesso tornaram-se objetos de desenvolvimento e discussão. Desta forma, as doenças da coluna lombossacral podem ser acessadas de diferentes maneiras e posições, desde a abordagem posterior tradicional em decúbito ventral até as abordagens anterior, oblíqua, lateral e endoscópica. O presente artigo traz vias de acesso de última geração para a coluna lombossacral. O objetivo deste artigo é elucidar as possibilidades de acesso à coluna lombar para quaisquer finalidades, como descompressão, fusão, ressecções tumorais, reconstrução ou correção de deformidades, independentemente do tipo de implante ou seu posicionamento.
Trabalho desenvolvido pelo Grupo de Coluna, Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brasil.
Publication History
Received: 08 February 2023
Accepted: 04 September 2023
Article published online:
10 April 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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