The endoscopically assisted simultaneous posteroanterior reconstruction of the thoracolumbar spine in prone position

The Spine Journal : Official Journal of the North American Spine Society
Akhil P VerheydenChristoph Josten

Abstract

The reconstruction of the anterior column of the thoracolumbar spine has become more common in the last few years, due largely to the unfavorable results of exclusively posterior surgical treatment, which has been associated with a lack of about 10 degrees of kyphosis correction after removal of the instrumentation. The minimally invasive anterior techniques have reduced the morbidity of the anterior approach significantly. A minimally invasive technique for anterior stabilization of the spine may reduce the morbidity of the open approach. Irrespective of an anterior open or an endoscopic approach, the posteroanterior instrumentation of thoracolumbar fractures requires time-consuming intraoperative maneuvers to change the patient position from prone to lateral. We describe here a standardized anterior endoscopically assisted approach for the segments T4 to L4. This approach allows the patient to remain in prone position. A 4- to 5-cm incision combined with a retractor system is used. In a prospective study, all patients of our clinic who underwent surgery of the thoracolumbar spine between July 1999 and May 2001 were registered. Study criteria were duration of surgery, duration of anesthesia, intra- and postoperative complicati...Continue Reading

References

Jun 1, 1991·Journal of Laparoendoscopic Surgery·T G Obenchain
Nov 1, 1993·Spine·J K BakerM H Heggeness
Sep 1, 1993·The Annals of Thoracic Surgery·M J MackT E Acuff
Jan 1, 1996·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·F de PerettiC Argenson
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Nov 12, 1998·Acta neurochirurgica·M VisocchiC A Dickman
Nov 7, 1999·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·P VerheydenC Josten

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Citations

Aug 10, 2010·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·Michele CappuccioStefano Boriani
Jan 10, 2006·Neurosurgical Focus·Khan W LiGeorge I Jallo
Aug 5, 2008·Neurosurgical Focus·Justin S SmithRichard G Fessler
Apr 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T R BlattertC Josten
Apr 22, 2016·Global Spine Journal·Brandon C GabelRod Oskouian
Oct 12, 2016·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Jan KocisRadek Vesely
May 12, 2020·Zeitschrift für Orthopädie und Unfallchirurgie·Ulrich J A SpieglGeorg Osterhoff

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