Abstract
Thoracic corpectomies are performed for various reasons, including spinal deformity, trauma, neoplasms, and infection. Regardless of indication, both anterior and posterior approaches are surgical options, selected based on pathology, anatomy, patient characteristics, and surgical experience. Risk profiles and outcomes for these procedures are poorly characterized, however, and the choice between the 2 approaches remains inconclusive. To compare risk factors and complications for adult patients undergoing anterior and posterior thoracic corpectomies. A review of the American College of Surgeons National Quality Improvement Program database was performed, with 30-day patient outcomes after anterior or posterior thoracic corpectomy queried from 2005 to 2016. Preoperative risk factors and postoperative outcomes (e.g., deaths, reoperations, readmissions) were identified and compared. In total, 1327 corpectomies were studied, 861 (64.9%) by an anterior approach and 465 (35.1%) by a posterior approach. Patients undergoing a posterior approach were generally male, older, and had a greater American Association of Anesthesiologists class, whereas those subject to anterior approaches had a greater average body mass index. After we contro...Continue Reading
References
Jan 1, 1993·AJR. American Journal of Roentgenology·G Y el-Khoury, C G Whitten
Feb 1, 1996·Neurosurgery·C A DickmanV K Sonntag
Jun 24, 1998·Surgical Neurology·R G Fessler, M Sturgill
Oct 10, 1998·Neurosurgery·D K Resnick, E C Benzel
Feb 1, 2000·Archives of Orthopaedic and Trauma Surgery·L H ChenC H Shih
Sep 14, 2001·Journal of the American Geriatrics Society·J M Leung, S Dzankic
Nov 1, 1952·Journal of Neurology, Neurosurgery, and Psychiatry·V LOGUE
Mar 12, 2004·British Journal of Anaesthesia·S J HowellP Foëx
May 29, 2004·Spine·Thomas MückleyRudolf Beisse
Sep 29, 2004·Neurosurgery Clinics of North America·Richard G Perrin, Adrian W Laxton
Oct 18, 2006·Archives of Surgery·Robert W Ikard
Dec 21, 2006·Anesthesia and Analgesia·Olaf SchoutenDon Poldermans
Oct 10, 2007·The Spine Journal : Official Journal of the North American Spine Society·Francis H ShenVincent Arlet
Nov 8, 2007·Neurosurgery·Kai-Michael Scheufler
Apr 8, 2009·Neurosurgery·Dae-Hyun KimRichard G Fessler
Jun 3, 2010·Journal of Neurosurgery. Spine·Daniel C LuDean Chou
Sep 15, 2010·Clinical Orthopaedics and Related Research·Stavros G MemtsoudisFederico P Girardi
Feb 11, 2011·Neurosurgery·Seunggu J HanDean Chou
Mar 23, 2012·Asian Spine Journal·Chong-Suh Lee, Chul-Hee Jung
Oct 11, 2013·Spine·Francis LovecchioJohn Y S Kim
May 2, 2015·Journal of Neurosurgery. Spine·Darryl Lau, Dean Chou
Dec 20, 2015·Journal of Neurosurgery. Spine·Paul M ForemanMark N Hadley
Jan 27, 2016·PloS One·Joshua MontroyDavid Schramm
Jun 13, 2017·Annals of Translational Medicine·Wilbert S Aronow
Citations
Jul 25, 2020·Global Spine Journal·Ryan G ChiuAnkit I Mehta
Jan 8, 2021·World Neurosurgery·Angelica M FuentesAnkit I Mehta
Oct 23, 2020·World Neurosurgery·Ryan G ChiuAnkit I Mehta
Mar 23, 2021·World Neurosurgery·Darius AnsariAnkit I Mehta