Thoracoscopic Deformity Correction

  • Peter O. NewtonEmail author
  • Andrew Perry

During the last century, the technological advances in the field of spinal surgery had a dramatic impact on the treatment of spinal deformity in children and adults. Before the advent of medications and vaccines, incapacitating spinal deformity was almost inevitable in those who succumbed to tuberculosis and poliomyelitis. In the early 1900 s, Lange began to address this problem mechanically by using foreign materials to stabilize the spine internally. In the 1950 s and 1960 s, owing to the efforts of Harrington and others, the process evolved to create the first generation of modern spinal instrumentation. The Harrington rods were able to correct spinal deformities primarily through distraction. Some of the shortcomings of Harrington rods were addressed in the 1970 s by Luque, who used segmental fixation involving sublaminar wires.


Spinal Deformity Posterior Instrumentation Anterior Axillary Line Anterior Longitudinal Ligament Anterior Release 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Lonner BS, Kondrachov D, Siddiqi F, et al. Thoracoscopic spinal fusion compared with posterior spinal fusion for the treatment of thoracic adolescent idiopathic scoliosis. J Bone Joint Surg Am. 2006;88:1022–1034.CrossRefPubMedGoogle Scholar
  2. 2.
    Newton PO, Parent S, Marks M, et al. Prospective evaluation of 50 consecutive scoliosis patients surgically treated with thoracoscopic anterior instrumentation. Spine. 2005;30:S100–S109.CrossRefPubMedGoogle Scholar
  3. 3.
    Faro FD, Marks MC, Newton PO, et al. Perioperative changes in pulmonary function after anterior scoliosis instrumentation: thoracoscopic versus open approaches. Spine. 2005;30:1058–1063.CrossRefPubMedGoogle Scholar
  4. 4.
    Al-Sayyad MJ, Crawford AH, Wolf RK. Early experiences with video-assisted thoracoscopic surgery: our first 70 cases. Spine. 2004;29:1945–1951; discussion 1952.CrossRefPubMedGoogle Scholar
  5. 5.
    Al-Sayyad MJ, Crawford AH, Wolf RK. Video-assisted thoracoscopic surgery: the Cincinnati experience. Clin Orthop Relat Res. 2005;434:61–70.CrossRefPubMedGoogle Scholar
  6. 6.
    Newton PO, White KK, Faro F, et al. The success of thoracoscopic anterior fusion in a consecutive series of 112 pediatric spinal deformity cases. Spine.2005;30:392–398.CrossRefPubMedGoogle Scholar
  7. 7.
    Krasna MJ, Jiao X, Eslami A, et al. Thoracoscopic approach for spine deformities.J Am Coll Surg. 2003;197:777–779.CrossRefPubMedGoogle Scholar
  8. 8.
    Newton PO, Marks M, Faro F, et al. Use of video-assisted thoracoscopic surgery to reduce perioperative morbidity in scoliosis surgery. Spine. 2003;28:S249–S254.CrossRefPubMedGoogle Scholar
  9. 9.
    Sucato DJ. Thoracoscopic anterior instrumentation and fusion for idiopathic scoliosis. J Am Acad Orthop Surg. 2003;11:221–227.PubMedGoogle Scholar
  10. 10.
    Han PP, Kenny K, Dickman CA. Thoracoscopic approaches to the thoracic spine: experience with 241 surgical procedures. Neurosurgery. 2002;51:S88–S95.CrossRefPubMedGoogle Scholar
  11. 11.
    Newton PO, Shea KG, Granlund KF. Defining the pediatric spinal thoracoscopy learning curve: sixty-five consecutive cases. Spine. 2000;25:1028–1035.CrossRefPubMedGoogle Scholar
  12. 12.
    Newton PO, Cardelia JM, Farnsworth CL, et al. A biomechanical comparison of open and thoracoscopic anterior spinal release in a goat model. Spine. 1998;23:530–535; discussion 536.CrossRefPubMedGoogle Scholar
  13. 13.
    Connolly PJ, Ordway NR, Sacks T, et al. Video-assisted thoracic diskectomy and anterior release: a biomechanical analysis of an endoscopic technique. Orthopedics. 1999;22:923–926.PubMedGoogle Scholar
  14. 14.
    Huntington CF, Murrell WD, Betz RR, et al. Comparison of thoracoscopic and open thoracic discectomy in a live ovine model for anterior spinal fusion. Spine. 1998;23:1699–1702.CrossRefPubMedGoogle Scholar
  15. 15.
    Smucker JD, Miller F. Crankshaft effect after posterior spinal fusion and unit rod instrumentation in children with cerebral palsy. J Pediatr Orthop. 2001;21:108–112.PubMedGoogle Scholar
  16. 16.
    Lapinksy AS, Richards BS. Preventing the crankshaft phenomenon by combining anterior fusion with posterior instrumentation. Does it work? Spine. 1995;20:1392–1398.PubMedGoogle Scholar
  17. 17.
    Sweet FA, Lenke LG, Bridwell KH, et al. Prospective radiographic and clinical outcomes and complications of single solid rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis. Spine. 2001;26:1956–1965.CrossRefPubMedGoogle Scholar
  18. 18.
    Johnston CE, 2nd, Elerson E, Dagher G. Correction of adolescent hyperkyphosis with posterior-only threaded rod compression instrumentation: is anterior spinal fusion still necessary? Spine. 2005;30:1528–1534.CrossRefPubMedGoogle Scholar
  19. 19.
    Early SD, Newton PO, White KK, et al. The feasibility of anterior thoracoscopic spine surgery in children under 30 kilograms. Spine. 2002;27:2368–2373.CrossRefPubMedGoogle Scholar
  20. 20.
    Crawford AH. Anterior surgery in the thoracic and lumbar spine: endoscopic techniques in children. Instr Course Lect. 2005;54:567–576.PubMedGoogle Scholar
  21. 21.
    Newton PO. The use of video-assisted thoracoscopic surgery in the treatment of adolescent idiopathic scoliosis. Instr Course Lect. 2005;54:551–558.PubMedGoogle Scholar
  22. 22.
    Picetti GD, 3rd, Pang D, Bueff HU. Thoracoscopic techniques for the treatment of scoliosis: early results in procedure development. Neurosurgery. 2002;51:978–984; discussion 984.CrossRefPubMedGoogle Scholar
  23. 23.
    Roush TF, Crawford AH, Berlin RE, et al. Tension pneumothorax as a complication of video-assisted thoracoscopic surgery for anterior correction of idiopathic scoliosis in an adolescent female. Spine. 2001;26:448–450.CrossRefPubMedGoogle Scholar
  24. 24.
    Chan EH, Russell JL, Williams WG, et al. Postoperative chylothorax after cardiothoracic surgery in children. Ann Thorac Surg. 2005;80:1864–1870.CrossRefPubMedGoogle Scholar
  25. 25.
    Christodoulou M, Ris HB, Pezzetta E. Video-assisted right supradiaphragmatic thoracic duct ligation for non-traumatic recurrent chylothorax. Eur J Cardiothorac Surg. 2006;29:810–814.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Orthopaedics, Rady Children’s HospitalUniversity of California-San DiegoSan DiegoUSA
  2. 2.Resident, Department of Orthopaedic SurgeryUniversity of California-San DiegoSan DiegoUSA

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