| Autor: |
Ivetić Dražen, Spaić Milan, Antić Branislav |
| Jazyk: |
English<br />Serbian |
| Rok vydání: |
2013 |
| Předmět: |
|
| Zdroj: |
Srpski Arhiv za Celokupno Lekarstvo, Vol 141, Iss 9-10, Pp 671-675 (2013) |
| Druh dokumentu: |
article |
| ISSN: |
0370-8179 |
| DOI: |
10.2298/SARH1310671I |
| Popis: |
Introduction. This paper describes the lateral extracavitary approach to the lumbar spine using the threequarter prone position. Owing to unsatisfied results of the posterior approaches to spine in patients with the ventral compressive lesions, many ventral approaches as well as lateral extracavitary approach have been developed. Case Outline. A patient with tumor (chordoma) of L3 vertebral body was operated on by means of ventral compression of cauda equina; the tumor had paraspinal propagation. Lateral extracavitary approach was used with a patient in threequarter prone position, and corpectomy with the anterior stabilisation was performed followed by posterior transpedicular stabilisation through the same approach. Complete tumor removal and excellent neurological improvement were achieved. Conclusion. This approach provides safe ventral decompression of the spinal cord; it also enables the anterior and posterior instrumental stabilisation through the same incision and in the same position during the intervention. The threequarter prone position allows excellent view of the dural sac. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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