Minimally invasive thoracic decompression for multi-level thoracic pathologies

详细信息    查看全文

• 作者：Zachary A. Smith ; Cort D. Lawton ; Albert P. Wong ; Nader S. Dahdaleh ; Alex ; er T. Nixon ; Aruna Ganju ; Richard G. Fessler
• 关键词：Minimally invasive spine ; Surgical technique ; Thoracic spine
• 刊名：Journal of Clinical Neuroscience
• 出版年：March, 2014
• 年：2014
• 卷：21
• 期：3
• 页码：467-472
• 全文大小：1379 K

文摘

We describe our experience using a minimal access approach for multi-level dorsal decompression of the thoracic spine that may limit approach-related soft-tissue injury and spinal destabilization. Additionally, three patients, each with unique compressive thoracic pathology, are discussed. A single minimal access technique, using multi-level hemilaminotomies, was used to address these unique pathologies via a similar approach. The three patients in this study had a mean age of 49.3 years (range: 45-55 years), mean estimated blood loss of 750 cc (range: 350-1000 cc), mean operative time of 3.8 hours (range: 3-5 hours), and a mean post-operative hospital stay of 2.3 days (range: 2-3 days). Complete decompression was achieved with resolution of symptoms in all patients. Long-term follow-up averaged 26.7 months (range: 15-36 months). Radiographic decompression was demonstrated in all patients. Minimal access techniques using muscle-splitting tubular retractor systems can effectively treat multi-level dorsal compression of the thoracic cord, while potentially limiting morbidity and long-term spinal instability.