COMPARISON OF THE SURGICAL TECHNIQUES FOR AN ANTERIOR TRANSTHORACIC APPROACH TO THE DORSAL SPINE
Journal Title: Journal of Turkish Spinal Surgery - Year 2014, Vol 25, Issue 4
Abstract
Thoracic and spine surgeons have become increasingly involved with anterior transthoracic approaches to the thoracic and upper lumbar spine. The major complications reported are potential pulmonary morbidity of a thoracotomy, post-thoracotomy pain, and cardiovascular injury. Some authors have reported technical difficulties, failure to perform the planned surgical strategies, and unfamiliarity with the approaches. Objectives: The aim of our study is to define the exact approach for each dorsal and upper lumbar vertebra, figuring out the exact steps and trying to reduce the possibility of vascular injury and pulmonary morbidity with elimination of the post-operative pain, and to improve the surgical exposure to facilitate the spine surgical procedures. Methods: Between May 2009 and January 2012, 38 patients received surgery with a thoracic, cervicothoracic, or thoracolumbar approach for dorsal spinal procedures. The choice of approach was dictated by the level and length of spinal involvement, and the surgical approaches could be described in terms of the lesion at four anatomical levels of the spinal column: (1) from C7 to T2; (2) from T2 to T6; (3) from T6 to T12; and (4) from T12 to L3 (C: cervical vertebrae, T: thoracic vertebrae). Results: All patients survived surgery with no postoperative mortality, and no major pulmonary complications or cardiac complications were detected (0%). Three patients (0.7%) had wound infection. Conclusions: The choice of laterality and type of surgical approach depends on the level and length of vertebral column involvement. Certain surgical principles and techniques will help general thoracic and spine surgeons to improve the quality of surgical exposure and to minimize intraoperative as well as postoperative complications.
Authors and Affiliations
Walid AE. HAMMAD
Keywords
Related Articles
- EP ID EP676819
- DOI -
- Views 119
- Downloads 0
MEASUREMENT OF LUMBAR INTERVERTEBRAL DISC HEIGHTS BY COMPUTED TOMOGRAPHY: MORPHOMETRIC STUDY
Purpose: We aimed to obtain data from computed tomography of healthy human lumbar intervertebral disc heights. Materials and Method: We inspected 50 female and 50 male between the ages of 18 and 60 who have admitt...
POSTERIOR APPROACHES OF CRANIOCERVICAL REGION
Because of the differences of anatomy in vertebrae and neuro vascular structures, craniovertebral junction is divided from the other part of spinal colon with regard to surgical applications. Most of flexion-extension (3...
RADSONUCLID AND HfSTOPATHOLOGlCAL EVALUATION OF COMBİNED ALLOGRAFT AND AUTOGENEOUS GRAFT APPLICATIONS İN ANTERIOR AND POSTERİOR SPINAL FUSİON
Autogeneous grafting is most effective choice in obtaining fusion in spinai surgery. Aİİograft usage is also popular especially when the autogeneous graft mass in insufficient. İn this study, 42 patients were evaluated İ...
MORPHOMETRIC STUDY OF LUMBAR VERTEBRA PEDICLES
Purpose: The aim of this study is to investigate the anatomic morphometry of the lumbar pedicles and support to calculate the best diameter and length of screws used in lumbar instrumentation. Materials-Method: We...
THE EFFECT OF POSTURAL KINESIOTAPING IN THE TREATMENT OF THORACIC KYPHOSIS
Purpose: The purpose of this study is to find out whether postural kinesio taping (KT) contributes to decreasing kyphosis angle in adolescents who have increased thoracic kyphosis. Within this context, our purpose was...