Anatomic features of the paramedian muscle-splitting approaches to the lumbar spine.

Daniel J. Hoh, Michael Y. Wang, Stephen L. Ritland

Research output: Contribution to journalReview articlepeer-review

23 Scopus citations


BACKGROUND: Intermuscular approaches can expose the lumbar spine and minimize muscular trauma and injury. The segmental anatomy of the posterior lumbar musculature allows surgical access through separation of muscle groups and fascicles and provides one to develop intermuscular working channels while preserving the integrity of the muscles and their function. In addition, preservation of the accompanying neurovascular bundles minimizes blood loss, tissue atrophy, and pain. With these approaches, a variety of procedures for decompression, discectomy, interbody fusion, or pedicle screw fixation can be achieved for single or multiple levels without subperiosteal stripping or muscle transection. OBJECTIVE: A detailed description of the relevant surgical anatomy for the muscle-sparing approach to the lumbar spine.

Original languageEnglish (US)
Pages (from-to)13-24; discussion 24-25
Issue number3 Suppl Operative
StatePublished - Mar 2010
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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