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Thoracic Lateral Retropleural Corpectomy

  • Gabriel Tender
  • Durga R. Sure
  • Yasser Badr
  • Clifford Crutcher
  • Lindsay Lasseigne
Chapter

Abstract

The thoracic retropleural corpectomy technique is somewhat easier than its’ lumbar counterpart. The approach is similar to the discectomy technique, but has to be extended to span the two discs, above and below the pathologic vertebral body. This technique does require resection of a short rib segment, but does not mandate lung deflation. Supplemental fixation with either a lateral plate or posterior pedicle screws is recommended.

Supplementary material

Video 16.1

T12 corpectomy (MP4 39170 kb)

Video 16.2

T7–T8 corpectomy (MP4 41327 kb)

References

  1. 1.
    Vaccaro AR, et al. Reliability of a novel classification system for thoracolumbar injuries: the thoracolumbar injury severity score. Spine (Phila Pa 1976). 2006;31:S62–9; discussion S104.  https://doi.org/10.1097/01.brs.0000218072.25964.a9.CrossRefGoogle Scholar
  2. 2.
    Vaccaro AR, et al. The thoracolumbar injury severity score: a proposed treatment algorithm. J Spinal Disord Tech. 2005;18:209–15.PubMedGoogle Scholar
  3. 3.
    Lu DC, Lau D, Lee JG, Chou D. The transpedicular approach compared with the anterior approach: an analysis of 80 thoracolumbar corpectomies. J Neurosurg Spine. 2010;12:583–91.  https://doi.org/10.3171/2010.1.spine09292.CrossRefPubMedGoogle Scholar
  4. 4.
    Archavlis E, Papadopoulos N, Ulrich P. Corpectomy in destructive thoracolumbar spine disease: cost-effectiveness of 3 different techniques and implications for cost reduction of delivered care. Spine (Phila Pa 1976). 2015;40:E433–8.  https://doi.org/10.1097/brs.0000000000000782.CrossRefGoogle Scholar
  5. 5.
    Baaj AA, et al. Complications of the mini-open anterolateral approach to the thoracolumbar spine. J Clin Neurosci. 2012;19:1265–7.  https://doi.org/10.1016/j.jocn.2012.01.026.CrossRefPubMedGoogle Scholar
  6. 6.
    Uribe JS, Dakwar E, Cardona RF, Vale FL. Minimally invasive lateral retropleural thoracolumbar approach: cadaveric feasibility study and report of 4 clinical cases. Neurosurgery. 2011;68:32–9; discussion 39.  https://doi.org/10.1227/NEU.0b013e318207b6cb.PubMedGoogle Scholar
  7. 7.
    Uribe JS, et al. Minimally invasive surgery treatment for thoracic spine tumor removal: a mini-open, lateral approach. Spine (Phila Pa 1976). 2010;35:S347–54.  https://doi.org/10.1097/BRS.0b013e3182022d0f.CrossRefGoogle Scholar
  8. 8.
    Smith WD, et al. Minimally invasive surgery for traumatic spinal pathologies: a mini-open, lateral approach in the thoracic and lumbar spine. Spine. 2010;35:S338–46.  https://doi.org/10.1097/BRS.0b013e3182023113.CrossRefPubMedGoogle Scholar
  9. 9.
    Ogden AT, et al. Cadaveric evaluation of minimally invasive posterolateral thoracic corpectomy: a comparison of 3 approaches. J Spinal Disord Tech. 2009;22:524–9.  https://doi.org/10.1097/BSD.0b013e31818e5488.CrossRefPubMedGoogle Scholar
  10. 10.
    Kim DH, et al. Minimally invasive posterolateral thoracic corpectomy: cadaveric feasibility study and report of four clinical cases. Neurosurgery. 2009;64:746–52; discussion 752-753.  https://doi.org/10.1227/01.neu.0000340783.83964.27.CrossRefPubMedGoogle Scholar
  11. 11.
    Holland CM, Bass DI, Gary MF, Howard BM, Refai D. Thoracic lateral extracavitary corpectomy for anterior column reconstruction with expandable and static titanium cages: clinical outcomes and surgical considerations in a consecutive case series. Clin Neurol Neurosurg. 2015;129:37–43.  https://doi.org/10.1016/j.clineuro.2014.11.022.CrossRefPubMedGoogle Scholar
  12. 12.
    Park MS, Deukmedjian AR, Uribe JS. Minimally invasive anterolateral corpectomy for spinal tumors. Neurosurg Clin N Am. 2014;25:317–25.  https://doi.org/10.1016/j.nec.2013.12.009.CrossRefPubMedGoogle Scholar
  13. 13.
    Lau D, Song Y, Guan Z, La Marca F, Park P. Radiological outcomes of static vs expandable titanium cages after corpectomy: a retrospective cohort analysis of subsidence. Neurosurgery. 2013;72:529–39; discussion 528-529.  https://doi.org/10.1227/NEU.0b013e318282a558.CrossRefPubMedGoogle Scholar
  14. 14.
    Ahmadian A, Uribe JS. Mini-open lateral retro-pleural thoracic corpectomy for osteomyelitis. Neurosurg Focus. 2013;35:Video 17.  https://doi.org/10.3171/2013.v2.focus13221.
  15. 15.
    Lall RR, Smith ZA, Wong AP, Miller D, Fessler RG. Minimally invasive thoracic corpectomy: surgical strategies for malignancy, trauma, and complex spinal pathologies. Minim Invasive Surg. 2012;2012:213791.  https://doi.org/10.1155/2012/213791.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Khan SN, Cha T, Hoskins JA, Pelton M, Singh K. Minimally invasive thoracolumbar corpectomy and reconstruction. Orthopedics. 2012;35:e74–9.  https://doi.org/10.3928/01477447-20111122-04.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Gabriel Tender
    • 1
  • Durga R. Sure
    • 2
  • Yasser Badr
    • 3
  • Clifford Crutcher
    • 4
  • Lindsay Lasseigne
    • 4
  1. 1.Louisiana State UniversityNew OrleansUSA
  2. 2.Essentia HealthDuluthUSA
  3. 3.Badr Brain and SpineLos AngelesUSA
  4. 4.Department of NeurosurgeryLouisiana State University Health Sciences CenterNew OrleansUSA

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