Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report

Autor: Augusto Esteban Martínez, Felipe Jose Lanari Subiaur, Carlos María Mounier, José Ricardo Prina, Ramiro Gutiérrez, Enrique Augusto Gobbi
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2019
Předmět:
Zdroj: Revista de la Asociación Argentina de Ortopedia y Traumatología, Vol 84, Iss 1, Pp 70-74 (2019)
Druh dokumentu: article
ISSN: 1515-1786
1852-7434
DOI: 10.15417/issn.1852-7434.2019.84.1.833
Popis: There are multiple techniques for spinal cord decompression in the thoracic spine, each with its advantages and disadvantages, and requiring different surgical skills. Recently, minimally invasive techniques have been developed, reducing morbidity rates and achieving good functional results. We present the case of a 64-year-old male with spinal compression symptoms, central disc herniation calcified at the fifth thoracic vertebra, which migrated to the lower end of the sixth thoracic vertebra. Diagnosis was clear for spinal cord compression. Partial posterior corpectomy of the sixth vertebra was performed with a minimally invasive transthoracic transpleural lateral approach and without additional fixation. The patient had a good outcome on follow-up, without progression of neurological symptoms or residual rib pain. Minimally invasive lateral approaches are valid techniques for the treatment of compression disorders of the thoracic spine, with low rates of morbidity and mortality, and a rapid recovery.
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