Petteys Rory J, Sandhu Faheem A
Department of Neurosurgery, Georgetown University Hospital, Washington, District of Columbia, United States.
J Neurol Surg A Cent Eur Neurosurg. 2014 Jul;75(4):305-9. doi: 10.1055/s-0033-1334489. Epub 2013 May 14.
Corpectomy is a frequently performed procedure for pathologies of the anterior spine including neoplasms, fractures, deformities, and osteomyelitis. Traditional approaches to the anterior thoracic spine and thoracolumbar junction are associated with significant perioperative pulmonary complications and morbidity. Posterior and posterolateral approaches minimize some of these complications but are somewhat limited in visualization of the anterior elements.
Here we report the case of a 49-year-old man with a remote thoracolumbar fracture and subsequent focal deformity treated with a minimally invasive lateral retroperitoneal corpectomy and open posterior arthrodesis.
Minimally invasive lateral corpectomy is a safe and effective option for deformity correction. We discuss the relative advantages and disadvantages of this approach and review the relevant literature.
椎体切除术是治疗包括肿瘤、骨折、畸形和骨髓炎在内的前柱病变的常用手术。传统的前路胸椎和胸腰段交界处手术与显著的围手术期肺部并发症和发病率相关。后路和后外侧入路可减少其中一些并发症,但在前路结构的可视化方面存在一定局限性。
在此,我们报告一例49岁男性患者,其既往有胸腰段骨折及随后的局部畸形,接受了微创经腹膜后外侧椎体切除术和开放后路关节融合术治疗。
微创外侧椎体切除术是一种安全有效的畸形矫正选择。我们讨论了该方法的相对优缺点,并回顾了相关文献。