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Current and Future Applications of the Kambin’s Triangle in Lumbar Spine Surgery

By Admin | June 03, 2022


Kambin’s triangle has become the anatomical location of choice when accessing the lumbar spine to treat degenerative spinal disorders. Currently, lumbar interbody fusion is the most common procedure utilizing this space; however, with the advent of the Kambin’s prism definition, advanced imaging modalities, and robotic-assisted techniques, lumbar spine surgery has become increasingly precise and less invasive. These technological and procedural advances have drastically reduced the rate of complications, improved patient outcomes, and expanded the use of the Kambin’s triangle to treat different pathologies utilizing cutting-edge techniques. In this review, the authors present the current uses of the Kambin’s triangle and the future application of this anatomical corridor in lumbar spine surgery.

Introduction & Background

Lower back pain is a leading cause of disability in the United States, resulting in a substantial burden on both patient quality of life and healthcare costs [1]. As the United States’ population continues to age, the need for operative treatment of lumbar pathologies will grow exponentially. The proportion of the US population over the age of 65 is projected to increase from 12% in 2000 to 20% by 2030 [2]. This is associated with an increase in the prevalence of degenerative spinal disorders, leading to an increase in the need for surgical treatment of these conditions [2].

Multiple novel surgical techniques have been employed in recent years to adequately treat spine pathologies while mitigating perioperative morbidity associated with traditional spine surgery. Some of these techniques include minimally invasive spinal surgeries (MISS) and endoscopic procedures, percutaneous fixation, osteobiologic use, and expandable bone grafts. Among these, transforaminal MISS (t-MISS) through the Kambin’s triangle is the standard of care for lumbar degenerative diseases [3]. However, this technique requires great...(More)

For more info please read, Current and Future Applications of the Kambin’s Triangle in Lumbar Spine Surgery, by Cureus

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