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A modified posterolateral transpedicular approach to thoracolumbar corpectomy with nerve preservation and bilateral cage reconstruction
- Source :
- Journal of Clinical Neuroscience. 21:988-992
- Publication Year :
- 2014
- Publisher :
- Elsevier BV, 2014.
-
Abstract
- This retrospective study investigated the early results of a single-stage posterolateral transpedicular corpectomy and fusion in the thoracolumbar spine. A modified technique with nerve preservation and bilateral expandable cage implantation is described. Four patients with vertebral metastasis and one patient with vertebral osteomyelitis were included in this series. Two patients underwent two level corpectomies, whereas three patients underwent single level corpectomy. The mean follow-up was 3.3 months. No perioperative complication was encountered. Improvement in neurological status was observed in patients with preoperative neurological deficits. Vertebral height and sagittal and coronal deformity were corrected using the current technique. Bilateral cage implantation offers an additional advantage of asymmetrical reconstruction of the ventral column in cases of hemicorpectomy. Single-stage posterolateral transpedicular corpectomy and fusion is a useful approach to treat ventral thoracolumbar pathologies.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Lumbar vertebrae
Ventral column
Thoracic Vertebrae
Prosthesis Implantation
Physiology (medical)
Deformity
Humans
Medicine
Vertebral osteomyelitis
Corpectomy
Aged
Retrospective Studies
Lumbar Vertebrae
business.industry
General Medicine
Middle Aged
Plastic Surgery Procedures
Decompression, Surgical
medicine.disease
Surgery
Radiography
Spinal Fusion
medicine.anatomical_structure
Neurology
Spinal fusion
Coronal plane
Thoracic vertebrae
Female
Neurology (clinical)
medicine.symptom
Spinal Nerve Roots
business
Subjects
Details
- ISSN :
- 09675868
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Neuroscience
- Accession number :
- edsair.doi.dedup.....7cc88521d55a0eed9b306d963146348a