Minimally Invasive Thoracic Corpectomy: 3-Dimensional Operative Video of a Posterolateral Approach to Decompression and Anterior Column Reconstruction

2013 ◽  
Vol 73 (2) ◽  
pp. ons141-ons141
Author(s):  
Zachary A. Smith ◽  
Albert P. Wong ◽  
Tarek Y. El Ahmadieh ◽  
Salah G. Aoun ◽  
Raqeeb Haque ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anterior Column ◽  
Posterolateral Approach ◽  
3 Dimensional ◽  
Anterior Column Reconstruction

Endoscopy-assisted Approaches for Anterior Column Reconstruction after Pedicle Screw Fixation of Acute Traumatic Thoracic and Lumbar Fractures

2008 ◽  
Vol 62 (suppl_5) ◽  
pp. ONS445-ONS453 ◽  
Author(s):  
Florian Ringel ◽  
Michael Stoffel ◽  
Carsten Stüer ◽  
Silke Totzek ◽  
Bernhard Meyer
Keyword(s):  
Minimally Invasive ◽  
Pedicle Screw ◽  
Screw Fixation ◽  
Pedicle Screw Fixation ◽  
Anterior Column ◽  
Open Approach ◽  
Surgical Data ◽  
Lumbar Fractures ◽  
Anterior Column Reconstruction

Abstract Objective: Surgical treatment of thoracic and lumbar vertebral body fractures combines instrumentation to stabilize the fracture and an anterior reconstruction to promote fusion of the fractured spine. The aim of the present study was to show that minimally invasive thoracoscopic or endoscopy-assisted approaches to the thoracic and lumbar spine are feasible for anterior column reconstruction. Methods: This prospective, single-center study included 83 consecutive patients harboring 100 acute thoracic and lumbar vertebral fractures. Patients' neurological status; preoperative, postoperative, and follow-up radiographic data; and surgical data were obtained. Results: Fractures ranged from T5 to L5. All fractures underwent posterior pedicle screw fixation followed by a thoracoscopic or endoscopy-assisted anterior approach for anterior column reconstruction to promote fusion. Ventral graft position was correct in 45 patients and acceptable in 37 patients; one patient required a surgical repositioning. Initial correction of kyphosis was 9 degrees; during follow-up (23 ± 11 mo), the mean loss of correction was 6 degrees. In 84 minimally invasive approaches, five conversions to an open approach were necessary. Complications included one case of L1 nerve root injury, two cases of transient neurological worsening, one case of posterior wound infection, and one case of pleural empyema. Conclusion: The minimally invasive endoscopic approach for anterior column reconstruction is a feasible strategy in the treatment of unstable thoracic and lumbar fractures. Fracture type and the material of the anterior graft can affect long-term maintenance of correction.

Minimally invasive plate osteosynthesis using posterolateral approach for distal tibial and tibial shaft fractures

Injury ◽  
2016 ◽  
Vol 47 (8) ◽  
pp. 1862-1866 ◽  
Author(s):  
Norio Yamamoto ◽  
Kenichi Ogawa ◽  
Chuji Terada ◽  
Yoshiki Okazaki ◽  
Kazuo Munetomo ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Posterolateral Approach ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

Improvement in vertebral endplate engagement following anterior column reconstruction using a novel expandable cage with self-adjusting, multiaxial end cap

2019 ◽  
Vol 67 ◽  
pp. 249-254 ◽  
Author(s):  
Thomas Stinchfield ◽  
Sasidhar Vadapalli ◽  
Zach Pennington ◽  
Rishe Sivagnanam ◽  
Julien Prevost ◽  
...  
Keyword(s):  
Anterior Column ◽  
Vertebral Endplate ◽  
Expandable Cage ◽  
Anterior Column Reconstruction
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