Multilevel anterior thoracic discectomies and anterior interbody fusion using a microsurgical thoracoscopic approach. Case report

Journal of Neurosurgery
C A Dickman, C A Mican

Abstract

A video-assisted thoracoscopic microsurgical approach was performed to treat a myelopathic patient with a severe kyphotic deformity caused by chronic nonunion of compression fractures of the T7-9 vertebrae. The kyphotic deformity was treated by combined operative procedures. First, an anterior release was performed using a thoracoscopic technique, sectioning the anterior longitudinal ligament and performing multilevel thoracic discectomies. Next, a posterior reduction and internal fixation of the deformity was achieved using hook-rod instrumentation. Finally, bone graft harvested during the posterior approach was used for interbody fusion via a thoracoscopic approach. Microsurgical thoracoscopic techniques potentially can be used in a variety of spinal surgeries. Compared to transthoracic and posterolateral approaches, this technique presents distinct advantages to treatment of anterior spinal pathology. The small incisions made into the intercostal spaces without retracting the ribs may reduce postoperative pain, shorten the length of hospitalization, and allow early return to activity. The operative techniques used in this case are described in detail. This report demonstrates that thoracoscopic discectomies and interbody fus...Continue Reading

References

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Citations

Jul 13, 2006·Neurosurgical Focus·J P JohnsonD Q Mc Bride
Jul 13, 2006·Neurosurgical Focus·K D KimJ Mimbs
Mar 18, 2005·Neurosurgical Focus·Rod J Oskouian, J Patrick Johnson
Jan 10, 2006·Neurosurgical Focus·Eli M BaronDevanand A Dominique
Dec 31, 2005·Journal of Neurosurgery. Spine·Rod J Oskouian, J Patrick Johnson
Aug 5, 2004·Journal of Neurosurgery. Spine·Mick J Perez-CruetRichard G Fessler
Dec 3, 2009·Journal of Neurosurgery. Spine·Fred C LamPraveen V Mummaneni
May 12, 1998·Journal of Neurosurgery·C A Dickman, R I Apfelbaum
Aug 4, 1998·Journal of Neurosurgery·D Rosenthal, C A Dickman
Jul 17, 2007·The Orthopedic Clinics of North America·Hormoz SheikhMick J Perez-Cruet
Oct 3, 2006·Neurosurgery Clinics of North America·John E O'TooleRichard G Fessler
May 11, 2010·Thoracic Surgery Clinics·Eugenio PompeoTommaso C Mineo
Feb 15, 2002·Neurosurgery·Rod J OskouianJohn J Regan
Oct 4, 2006·Current Opinion in Anaesthesiology·D C Adams, J B Eisenkraft
Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·Daniel J SucatoRobert D Welch
Mar 10, 2001·The Annals of Thoracic Surgery·R P Scott
Jul 17, 2007·The Orthopedic Clinics of North America·Dino SamartzisD Greg Anderson

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Methods Mentioned

BETA
dissection
biopsy

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