scholarly journals Mini-open anterior approach for cervicothoracic junction fracture: technical note

2017 ◽  
Vol 43 (2) ◽  
pp. E4
Author(s):  
Junichi Ohya ◽  
David P. Bray ◽  
Stephen T. Magill ◽  
Todd D. Vogel ◽  
Sigurd Berven ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Anterior Approach ◽  
Cone Beam Ct ◽  
Diffuse Idiopathic Skeletal Hyperostosis ◽  
Ct Scanning ◽  
Technical Note ◽  
Cervicothoracic Junction ◽  
Anterior Plate ◽  
Mini Open ◽  
Unstable Fractures

Elderly patients with diffuse idiopathic skeletal hyperostosis are at high risk for falls, and 3-column unstable fractures present multiple challenges. Unstable fractures across the cervicothoracic junction are associated with significant morbidity and require fixation, which is commonly performed through a posterior open or percutaneous approach. The authors describe a novel, navigated, mini-open anterior approach using intraoperative cone-beam CT scanning to place lag screws followed by an anterior plate in a 97-year-old patient. This approach is less invasive and faster than an open posterior approach and can be considered as an option for management of cervicothoracic junction fractures in elderly patients with high perioperative risk profile who cannot tolerate being placed prone during surgery.

scholarly journals Mini-open anterior approach to the cervicothoracic junction: a cadaveric study

2013 ◽  
Vol 22 (7) ◽  
pp. 1533-1538 ◽  
Author(s):  
Yi-xing Huang ◽  
Nai-feng Tian ◽  
Yong-long Chi ◽  
Sheng Wang ◽  
Jun Pan ◽  
...  
Keyword(s):  
Anterior Approach ◽  
Cadaveric Study ◽  
Cervicothoracic Junction ◽  
Mini Open

Anterior approach to the cervicothoracic junction: proposed indication for manubriotomy based on preoperative computed tomography findings

2011 ◽  
Vol 15 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Asdrubal Falavigna ◽  
Orlando Righesso ◽  
Alisson Roberto Teles
Keyword(s):  
Anterior Approach ◽  
Surgical Planning ◽  
Preoperative Planning ◽  
Preoperative Evaluation ◽  
Length Of Hospital Stay ◽  
Ct Scanning ◽  
Cervicothoracic Junction ◽  
Surgical Time ◽  
The Mean ◽  
Herniated Intervertebral Disc

Object The purpose of this study was to present straightforward preoperative methods to define the need for manubriotomy in the anterior surgical approach to the cervicothoracic junction. Methods Preoperative MR imaging and CT scanning studies were performed in all patients. The CT images with sagittal reconstructions including the manubrium were done to apply the so-called surgeons' view line. This line is parallel to the inferior plateau of the superior healthy vertebrae or the vertebrae above the herniated intervertebral disc, and the decision concerning the need for manubriotomy depends on the correlation between this line and the manubrium. Results Preoperative planning of the need for manubriotomy was correct in all cases. Manubriotomy was never performed in C-7 corpectomy or C7–T1 discectomy cases; nevertheless, manubriotomy was needed in half of the cases when the T-1 corpectomy was the lowest level to be resected (8 cases), and in 4 cases the lowest level to be approached was T-2. The mean surgical time, bleeding volume, postoperative pain intensity, and length of hospital stay were less in the cervicotomy than in the manubriotomy group. Conclusions By using the surgeons' view line and its correlation with the manubrium, the need for manubriotomy can be predicted without compromising decompression and reconstruction. The statistical differences observed in the surgical variables between the manubriotomy and cervicotomy cases justified the use of preoperative evaluation of the need for manubriotomy as an aid to surgical planning and to give the patient and family realistic expectations about the surgery.

Real-time US/cone-beam CT fusion imaging for percutaneous ablation of small renal tumours: a technical note

2021 ◽  
Author(s):  
Lorenzo Monfardini ◽  
Nicolò Gennaro ◽  
Franco Orsi ◽  
Paolo Della Vigna ◽  
Guido Bonomo ◽  
...  
Keyword(s):  
Real Time ◽  
Cone Beam Ct ◽  
Fusion Imaging ◽  
Technical Note ◽  
Cone Beam ◽  
Percutaneous Ablation ◽  
Renal Tumours

scholarly journals Mini-open thoracoscopic-assisted spinal thoracotomy for traumatic injuries: A technical note

2020 ◽  
Vol 11 ◽  
pp. 265
Author(s):  
Vikas Tandon ◽  
Abhinandan Reddy Mallepally ◽  
Ashok Reddy Peddaballe ◽  
Nandan Marathe ◽  
Harvinder Singh Chhabra
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Operating Time ◽  
Length Of Hospital Stay ◽  
Neurological Status ◽  
Technical Note ◽  
Single Level ◽  
Estimated Blood Loss ◽  
Multiple Variables ◽  
Mini Open

Background: Mini-open thoracoscopic-assisted thoracotomy (MOTA) has been introduced to mitigate disadvantages of conventional open anterior or conventional posterior only thoracoscopic procedures. Here, we evaluated the results of utilizing the MOTA technique to perform anterior decompression/fusion for 22 traumatic thoracic fractures. Methods: There were 22 patients with unstable thoracic burst fractures (TBF) who underwent surgery utilizing the MOTA thoracotomy technique. Multiple variables were studied including; the neurological status of the patient preoperatively/postoperatively, the level and type of fracture, associated injuries, operative time, estimated blood loss, chest tube drainage (intercostal drainage), length of hospital stay (LOS), and complication rate. Results: In 22 patients (averaging 35.5 years of age), T9 and T12 vertebral fractures were most frequently encountered. There were 20 patients who had single level and 2 patients who had two-level fractures warranting corpectomies. Average operating time and blood loss for single-level corpectomy were 91.5 ± 14.5 min and 311 ml and 150 ± 18.6 min and 550 ml for two levels, respectively. Mean hospital stay was 5 days. About 95.45% of cases showed fusion at latest follow-up. Average preoperative kyphotic angle corrected from 34.2 ± 3.5° to 20.5 ± 1.0° postoperatively with an average correction of 41.1% and correction loss of 2.4%. Conclusion: We concluded that utilization of the MOTA technique was safe and effective for providing decompression/fusion of traumatic TBF.

scholarly journals Technical Note: 3D localization of lung tumors on cone beam CT projections via a convolutional recurrent neural network

2020 ◽  
Vol 47 (3) ◽  
pp. 1161-1166
Author(s):  
Chuang Wang ◽  
Margie Hunt ◽  
Lei Zhang ◽  
Andreas Rimner ◽  
Ellen Yorke ◽  
...  
Keyword(s):  
Neural Network ◽  
Recurrent Neural Network ◽  
Cone Beam Ct ◽  
Lung Tumors ◽  
Technical Note ◽  
Cone Beam ◽  
3D Localization
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