Department of Neurosurgery, University of California, San Francisco, California 94143-0112, USA.
J Neurosurg Spine. 2011 Jan;14(1):71-7. doi: 10.3171/2010.10.SPINE091009. Epub 2010 Dec 17.
Transpedicular corpectomies are frequently used to perform anterior surgery from a posterior approach. Minimally invasive thoracolumbar corpectomies have been previously described, but these are performed through a unilateral approach. Bilateral access must be obtained for a circumferential decompression when using such techniques. The authors describe a technique that allows for a mini-open transpedicular corpectomy, 360° decompression, and expandable cage reconstruction through a single posterior approach. This is performed using percutaneous pedicle screws, the trap-door rib-head osteotomy, and a single midline fascial exposure. The authors describe this technique with intraoperative photos and a video demonstrating the technique.
经皮椎弓根螺钉固定技术结合经肋骨头截骨的小切口双侧开门脊柱前方整块切除术治疗胸腰椎疾病