• Aecio Rubens Dias Pereira Filho.
• Departmental and Institutional Affiliations, Clinart Ltda, São Paulo, SP, Brazil. Electronic address: cialdine_jr@hotmail.com.
• World Neurosurg. 2021 Apr 1; 148: 189-195.

BackgroundDue to increasing longevity, the incidence of degenerative lumbar disc diseases has increased, and surgical treatment is often necessary. In this context, the anterior approach becomes an important technique. However, one of the main limitations of this method is the need for dedicated retractors, which requires larger incisions for its positioning and increases the cost of the procedure. The objective of the present study was to describe a technique for retracting abdominal structures by anterior approaches to the lumbar spine using Steinmann wires.MethodsThis manuscript consists of a technique description of anterior approach for lumbar spine.ResultsSurgical treatment of degenerative lumbar spine disease is often necessary when the patients have symptoms refractory to conservative treatments. Many of them will be candidates for surgical treatment with anterior approach, either for arthrodesis/anterior lumbar interbody fusion or arthroplasty. Small incisions are performed for positioning the modified Langenbeck retractors and the Steinmann wires. These retractors are easily positioned and provide good exposure of the lumbar discs making it possible to implant appropriate cages for restoring the necessary height, lordosis, and sagittal balance.ConclusionsThe technique described is safe, inexpensive, and reproducible. Simple and easily accessible instruments are required in most hospital complexes.Copyright © 2021 Elsevier Inc. All rights reserved.

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