PMID: 2125148Nov 1, 1990Paper

Lateral rhachotomy for thoracic spinal lesions

Spine
K YonenobuK Ono

Abstract

Capener's "Lateral Rhachotomy" was modified by additional excision of the pedicle, articular facets, part of the lamina, and a posterior half of the vertebral bodies on one side through a transpleural approach to the thoracic spine, and a retroperitoneal approach to the lumbar spine. The aim was to excise a space-occupying lesion, which exists in front of the thoracic or lumbar spinal cord, safely. This modification enable the authors to expose more than 50% of the spinal canal, and decompress it from its anterior, lateral, and posterior compressing mass. The utmost important point of this procedure is the excision of the lesion under the direct visualization of the dura. In ossification of the posterior longitudinal ligament (OPLL), the dura is usually indented by the thick bony mass, and the lesion extends over a few segment with adhesion. Using "Modified Lateral Rhachotomy," it was possible to explore three or four vertebral levels in continuity through the same skin incision. In the present report, the authors described their "Modified Lateral Rhachotomy" procedure, and reviewed the case material.

Citations

Apr 7, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Yukihiro MatsuyamaNaoki Ishiguro
Jul 4, 2007·Journal of Spinal Disorders & Techniques·Masashi KomagataHiroto Kobayashi
Jan 16, 2010·Journal of Spinal Disorders & Techniques·Alfred T OgdenRichard G Fessler
Nov 29, 2011·The Journal of Spinal Cord Medicine·Norihiro NishidaToshihiko Taguchi
Aug 6, 2002·Neurologia Medico-chirurgica·Tsutomu TokuyamaHiroki Namba
Mar 3, 2011·Neurosurgical Focus·Jamal McClendonJohn C Liu
Oct 9, 2012·Journal of Neurosurgery. Spine·Satoshi KatoHiroyuki Tsuchiya
Jul 22, 2004·Neurosurgical Focus·Jason LifshutzDennis Maiman
Dec 26, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Kei AndoNaoki Ishiguro

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