Department of Neurosurgery, University of Utah, Salt Lake City, UT, USA.
Acta Neurochir (Wien). 2010 Apr;152(4):597-603. doi: 10.1007/s00701-009-0549-1. Epub 2009 Nov 12.
Anterior vertebral body reconstruction (AVBR) for trauma or tumor involves corpectomy and placement of hardware to reconstitute the anterior weight-bearing stability of the spine. We report our clinical experience with thoracoscopic techniques for AVBR.
We retrospectively analyzed patients who underwent thoracoscopic AVBR surgery for expandable cage placement. We report pathological condition, patient age, vertebral body level, operative time, estimated blood loss (EBL), and need for blood transfusion.
Twenty-one expandable cages were placed thoracoscopically in 15 fractures and six tumors. In fracture cases, mean age, operative time, EBL, and transfusion rate were 36.7 years, 4.9 h, 543 mL, and 7% (1/15), respectively. In tumor cases, mean age, operative time, EBL, and transfusion rate were 61.9 years, 4.9 h, 758 mL, and 17% (1/6), respectively.
Thoracoscopic AVBR with expandable cages can be accomplished safely with acceptable operative times and blood loss and low transfusion rates.
用于创伤或肿瘤的前路椎体重建（AVBR）包括椎体切除术和植入内固定物以重建脊柱的前承重稳定性。我们报告了使用胸腔镜技术进行 AVBR 的临床经验。
我们回顾性分析了接受胸腔镜前路椎体重建手术以放置可扩张笼的患者。我们报告了病理状况、患者年龄、椎体水平、手术时间、估计失血量（EBL）和输血需求。
15 例骨折和 6 例肿瘤患者共进行了 21 次可扩张笼的胸腔镜手术。在骨折病例中，平均年龄、手术时间、EBL 和输血率分别为 36.7 岁、4.9 小时、543 毫升和 7%（1/15）。在肿瘤病例中，平均年龄、手术时间、EBL 和输血率分别为 61.9 岁、4.9 小时、758 毫升和 17%（1/6）。
使用可扩张笼进行胸腔镜前路椎体重建可以安全完成，手术时间、失血量和输血率可接受。
