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Video-Assisted Thoracoscopic Surgery (VATS) for Spinal Conditions

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Endoscopy of the Spine
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Abstract

Video-assisted thoracoscopic spine surgery (VATS) is a technological advancement in minimally invasive endoscopic surgery. VATS uses a fiber-optic camera and a light source for visualization and surgical field magnification through small percutaneous portals. This provides the benefit of clear visualization and advantages of minimally invasive (MIS) surgery. In addition, the anterior thoracoscopic approach often results in fewer spinal levels fusion for the treatment of the scoliotic deformity when compared to the traditional posterior spinal techniques. This chapter describes the current indication of VATS in spinal pathologies, the surgical anatomy, a step-by-step surgical technique guide, and the author’s preferred technique.

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References

  1. Kuklo TR, Lenke LG. Thoracoscopic spine surgery: current indications and techniques. Orthop Nurs. 2000;19:15–22.

    Article  CAS  Google Scholar 

  2. Wong H-K, Hee H-T, Yu Z, Wong D. Results of thoracoscopic instrumented fusion versus conventional posterior instrumented fusion in adolescent idiopathic scoliosis undergoing selective thoracic fusion. Spine (Phila Pa 1976). 2004;29(18):2031–8. discussion 2039.

    Article  Google Scholar 

  3. Reddi V, Clarke DV Jr, Arlet V. Anterior thoracoscopic instrumentation in adolescent idiopathic scoliosis: a systematic review. Spine (Phila Pa 1976). 2008;33(18):1986–94.

    Article  Google Scholar 

  4. Liu GKP, Kit WH. Video assisted thoracoscopic surgery for spinal conditions. Neurol India. 2005;53(4):489–98.

    Article  Google Scholar 

  5. Pischik VG. Technical difficulties and extending the indications for VATS lobectomy. J Thorac Dis. 2014;6(Suppl 6):S623–30. https://doi.org/10.3978/j.issn.2072-1439.2014.10.11.

    Article  Google Scholar 

  6. Sucato D, Kassab F, Dempsey M. Analysis of screw placement relative to the aorta and spinal canal following anterior instrumentation for thoracic idiopathic scoliosis. Spine. 2004;29:554–9.

    Article  Google Scholar 

  7. Winter RB, Lonstein JE, Denis F, Leonard AS, Garamella JJ. Paraplegia resulting from vessel ligation. Spine. 1996;21:1232–3. discussion 1233–4.

    Article  CAS  Google Scholar 

  8. Amini A, Beisse R, Schmidt MH. Thoracoscopic spine surgery for decompression and stabilization of the anterolateral thoracolumbar spine. Neurosurg Focus. 2005;19(6):E4.

    Article  Google Scholar 

  9. Newton P, White K, Faro F, Gaynor T. The success of thoracoscopic anterior fusion in a consecutive series of 112 pediatric spinal deformity cases. Spine. 2005;30:392–8.

    Article  Google Scholar 

  10. Betz RR, Harms J, Clements DH, Lenke LG, Lowe TG, Shufflebarger HL, Jeszenszky D, Beele B. Comparison of anterior and posterior instrumentation for correction of adolescent thoracic idiopathic scoliosis. Spine. 1999;24:225–39.

    Article  CAS  Google Scholar 

  11. McAfee PC, Regan JJ, Zdeblick T, Zukerman J, Picetti GD, Heim S, et al. The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. A prospective multicenter study comprising the first 100 consecutive cases. Spine. 1995;20:1624–32.

    Article  CAS  Google Scholar 

  12. Huang TJ, Hsu RW, Sum CW, Liu HP. Complications in thoracoscopic spinal surgery. A study of 90 consecutive patients. Surg Endosc. 1999;13:346–50.

    Article  CAS  Google Scholar 

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Correspondence to Gabriel Liu .

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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Hao, T.J., Liu, G. (2023). Video-Assisted Thoracoscopic Surgery (VATS) for Spinal Conditions. In: Lui, T.H. (eds) Endoscopy of the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-19-7761-9_20

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  • DOI: https://doi.org/10.1007/978-981-19-7761-9_20

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7760-2

  • Online ISBN: 978-981-19-7761-9

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