scholarly journals Mini-open lateral approach for anterior lumbar corpectomy combined with posterior screw-rod system augmentation for correction of kyphosis

2021 ◽  
Vol 32 ◽  
pp. 100428
Author(s):  
Deniz Sirinoglu ◽  
Buse Sarigul ◽  
Onur Derdiyok ◽  
Ozan Baskurt ◽  
Mehmet Volkan Aydin
Keyword(s):  
Lateral Approach ◽  
Rod System ◽  
Mini Open ◽  
Lumbar Corpectomy

scholarly journals Acute Lumbar Burst Fracture Treated by Minimally Invasive Lateral Corpectomy

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Rodrigo Amaral ◽  
Luis Marchi ◽  
Leonardo Oliveira ◽  
Thiago Coutinho ◽  
Luiz Pimenta
Keyword(s):  
Minimally Invasive ◽  
Burst Fracture ◽  
Pedicle Screws ◽  
Difficult Problem ◽  
Lateral Approach ◽  
Radiological Results ◽  
High Incidence ◽  
Clinical And Radiological Results ◽  
Mini Open ◽  
Lumbar Corpectomy

Burst fractures in acute spinal traumas are a difficult problem to solve. Different approaches and techniques have been utilized, but with high incidence of morbidity and mortality, besides unsatisfactory clinical and radiological results. Mini-open approaches recently emerged and have been shown to be safe and effective in the treatment of several spinal conditions. Here we report a case of acute lumbar burst fracture at L2 treated by minimally invasive true lateral approach posteriorly instrumented with percutaneous pedicle screws. The minimum disruptive access in addition to a rigid construction allowed a lumbar corpectomy without the morbidity of standard open approaches, lowering surgery costs and accelerating the patient recovery with successfully clinical and radiological results.

scholarly journals Miniopen vs Lateral Approach for Ankle Arthrodesis, Which Approach is Superior in Joint Preparation: A Cadaver Study

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0013
Author(s):  
Karthikeyan Chinnakkannu ◽  
Haley McKissack ◽  
Gean C. Viner ◽  
Jun Kit He ◽  
Leonardo V. M. Moraes ◽  
...  
Keyword(s):  
Surface Area ◽  
Ankle Arthrodesis ◽  
Lateral Approach ◽  
Fixation Method ◽  
Open Approach ◽  
Ankle Arthritis ◽  
Joint Preparation ◽  
Significant Difference ◽  
In Trans ◽  
Mini Open

Category: Ankle, Ankle Arthritis, Arthroscopy, Basic Sciences/Biologics Introduction/Purpose: Ankle arthrodesis is a gold standard for end-stage ankle arthritis after conservative managements fail. It may be done through direct anterior, lateral, arthroscopic or mini open approaches. Joint preparation, apposition of joint surfaces and stable fixation are very important for successful outcomes. Ankle arthrodesis maybe associated with infection, chronic pain and nonunion - of these, nonunion is the most common complication reported. Achieving union is of utmost importance while minimizing complications associated with the procedure. Regardless of approach or fixation method, preparation of articular surface is of paramount importance for successful union and may be limited by the approach used. Our study aims to evaluate the difference between direct lateral and dual mini-open approaches (extended arthroscopic portals) in terms of joint preparation. Methods: We used 10 below knee fresh-frozen cadaver legs for this cadaveric study. Ankle joints of five specimens were prepared through the lateral approach, while the remaining five ankles were prepared using dual mini incisions. After the completion of preparation, all ankles were dissected to open, photographic images of tibial plafond and talar articular were taken. Surface areas of each articular facet and unprepared cartilage of the talus, distal tibia, and distal fibula were measured and analyzed using ImageJ software. Results: Significantly greater amount of total surface area was prepared among specimens using mini-open approach compared to those with trans-fibular approach. The percentage of total articulating surface area prepared (including talus and tibia/fibula), talus, tibia and fibula in trans-fibular approach were 76.9%, 77.7% and 75% respectively. The percentages were 90.9%, 92.9%, and 88.6% in mini-open approach. While the medial gutter was well prepared with mini incision technique (unprepared surface 44 .64% vs 91.08%), lateral gutter was well prepared in trans-fibular technique (88.82vs 82.04 square cm). There is no difference in the amount of unprepared surface of talar dome between the two approaches. When excluding the medial gutter, there was no significant difference between trans-fibular and mini open techniques (83.94 vs 90.85, p=0.1412). Conclusion: Joint preparation using the mini-open approach (extended arthroscopic portal) is equally as efficacious as the transfibular approach for preparation of the tibiotalar joint. When including preparation of the medial gutter, the mini-open approach provides superior joint preparation. This may be advantageous with decreased rate of nonunion and less complications. But many surgeons fuse only tibiotalar surface, considering that, both approaches yield equal amount of joint preparation. But it needs to be confirmed with clinical studies.

scholarly journals Minimally Invasive Lateral Approach for Anterior Spinal Cord Decompression in Thoracic Myelopathy

2021 ◽  
Author(s):  
Edna E. Gouveia ◽  
Mansour Mathkour ◽  
Erin McCormack ◽  
Jonathan Riffle ◽  
Olawale A. Sulaiman ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Disc Herniation ◽  
Interbody Fusion ◽  
Case Series ◽  
Lateral Approach ◽  
Spinal Instability ◽  
Decompression Procedure ◽  
Thoracic Disc ◽  
Mini Open

Myelopathy can result from a thoracic disc herniation (TDH) compressing the anterior spinal cord. Disc calcification and difficulty in accessing the anterior spinal cord pose an operative challenge. A mini-open lateral approach to directly decompress the anterior spinal cord can be performed with or without concomitant interbody fusion depending on pre-existing or iatrogenic spinal instability. Experience using stand-alone expandable spacers to achieve interbody fusion in this setting is limited. Technical advantages, risks and limitations of this technique are discussed. We conducted a retrospective chart review of all patients with thoracic and upper lumbar myelopathy treated with a lateral mini-open lateral approach. Review of the literature identified 6 other case series using similar lateral minimally invasive approaches to treat thoracic or upper lumbar disc herniation showing efficient and safe thoracic disc decompression procedure for myelopathy. This technique can be combined with interbody arthrodesis when instability is suspected.

Acute and Hyper-acute Thoracolumbar Corpectomy for Traumatic Burst Fractures Using a Mini-open Lateral Approach

Spine ◽  
2018 ◽  
Vol 43 (2) ◽  
pp. E118-E124 ◽  
Author(s):  
William D. Smith ◽  
Nick Ghazarian ◽  
Ginger Christian
Keyword(s):  
Lateral Approach ◽  
Burst Fractures ◽  
Mini Open

scholarly journals Mini-open lateral retropleural/retroperitoneal approaches for thoracic and thoracolumbar junction anterior column pathologies

2020 ◽  
Vol 49 (3) ◽  
pp. E13
Author(s):  
Peter A. Christiansen ◽  
Shengbin Huang ◽  
Justin S. Smith ◽  
Mark E. Shaffrey ◽  
Juan S. Uribe ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Case Series ◽  
Deformity Correction ◽  
Lateral Approach ◽  
Anterior Column ◽  
Thoracolumbar Junction ◽  
Retrospective Case ◽  
Lateral Plate ◽  
Cage Subsidence ◽  
Mini Open

OBJECTIVEAdvancements in less invasive lateral retropleural/retroperitoneal approaches aim to address the limitation of posterolateral approaches and avoid complications associated with anterior open thoracotomy or thoracoabdominal approaches.METHODSConsecutive patients treated with a mini-open lateral approach for thoracic or thoracolumbar anterior column pathologies were analyzed in a retrospective case series including clinical and radiographic outcomes. Special attention is given to operative techniques and surgical nuances.RESULTSEleven patients underwent a mini-open lateral retropleural or combined retropleural/retroperitoneal approach for thoracic or thoracolumbar junction lesions. Surgical indications included chronic fracture/deformity (n = 5), acute fracture (n = 2), neoplasm (n = 2), and osteomyelitis (n = 2). The mean length of postoperative hospital stay was 7.2 days (range 2–19 days). All patients ultimately had successful decompression and reconstruction with a mean follow-up of 16.7 months (range 6–29 months). Axial back pain assessed by the visual analog scale improved from a mean score of 8.2 to 2.2. Complications included 1 patient with deep venous thrombosis and pulmonary embolism and 1 with pneumonia. One patient developed increased leg weakness, which subsequently improved. One patient undergoing corpectomy with only lateral plate fixation developed cage subsidence requiring posterior stabilization.CONCLUSIONSMini-open lateral retropleural and retroperitoneal corpectomies can safely achieve anterior column reconstruction and spinal deformity correction for various thoracic and thoracolumbar vertebral pathologies.

Mini-Open Lateral Corpectomy for Thoracolumbar Junction Lesions

2019 ◽  
Vol 18 (6) ◽  
pp. 640-647 ◽  
Author(s):  
Shengbin Huangxs ◽  
Peter A Christiansen ◽  
Haitao Tan ◽  
Justin S Smith ◽  
Mark E Shaffrey ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Cauda Equina ◽  
Spinal Column ◽  
Metastatic Tumor ◽  
Lateral Approach ◽  
Thoracolumbar Junction ◽  
Neural Function ◽  
Unique Challenge ◽  
Function Recovery ◽  
Mini Open

Abstract BACKGROUND Neoplastic, traumatic, infectious, and degenerative pathologies affecting the thoracolumbar junction pose a unique challenge to spine surgeons. Posterior or anterior approaches have traditionally been utilized to treat these lesions. Although minimally invasive surgeries through a lateral approach to the thoracic or lumbar spine have gained popularity, lateral access to the thoracolumbar junction remains technically challenging due to the overlying diaphragm positioned at the interface of the peritoneum and pleura. OBJECTIVE To describe a mini-open lateral retropleural retroperitoneal approach for pathologies with spinal cord/cauda equina compression at the thoracolumbar junction. METHODS A mini-open lateral corpectomy is described in detail in a patient with an L1 metastatic tumor. RESULTS Satisfactory decompression and spinal column reconstruction were achieved. The patient obtained neural function recovery following the procedure with no intra- or postoperative complications. CONCLUSION The morbidities associated with traditional posterior or anterior approaches to thoracolumbar junction pathologies have led to a growing interest in minimally invasive alternatives. The mini-open lateral approach allows for a safe and efficacious corpectomy and reconstruction for thoracolumbar junction pathologies. Thorough understanding of the anatomy, particularly of the diaphragm, is critical. This approach will have expanded roles in the management of patients with thoracolumbar neoplasms, fractures, infections, deformities, or degenerative diseases.

Sign in / Sign up

Export Citation Format

Share Document