Lall Rohan R, Smith Zachary A, Wong Albert P, Miller Daniel, Fessler Richard G
Department of Neurological Surgery, Northwestern University McGaw Medical Center, Chicago, IL 60208, USA.
Minim Invasive Surg. 2012;2012:213791. doi: 10.1155/2012/213791. Epub 2012 Jul 24.
The rapid expansion of minimally invasive techniques for corpectomy in the thoracic spine provides promise to redefine treatment options in this region. Techniques have evolved permitting anterior, lateral, posterolateral, and midline posterior corpectomy in a minimally invasive fashion. We review the numerous techniques that have been described, including thoracoscopy, tubular retraction, and various instrumentation techniques. Minimally invasive techniques are compared to their open predecessors from a technical and complication standpoint. Advantages and disadvantages of different approaches are also considered, with an emphasis on surgical strategies and nuance.
胸椎椎体切除术微创技术的迅速发展有望重新定义该区域的治疗选择。技术不断演进,现已能够以微创方式进行前路、侧方、后外侧及中线后路椎体切除术。我们回顾了已描述的众多技术,包括胸腔镜检查、管状牵开术及各种器械技术。从技术和并发症角度将微创技术与其开放手术的前身进行了比较。还考虑了不同方法的优缺点,重点在于手术策略和细微差别。