Affiliation:
1. Universidade Federal de Goiás, Brazil
2. Centro de Reabilitação e Readaptação Dr. Henrique Santillo, Brazil
Abstract
<sec><title>OBJECTIVE:</title><p> To describe the surgical technique for vertebrectomy by posterior single approach in the thoracic and thoracolumbar spine with circumferential reconstruction and arthrodesis, and evaluate retrospectively the results and complications after 2 years of follow-up in patients undergoing this technique.</p></sec><sec><title>METHODS:</title><p> Retrospective analysis of medical records and imaging studies of 12 patients with vertebrectomy indication for various pathologies, undergoing this surgical technique.</p></sec><sec><title>RESULTS:</title><p> Eight (66.67%) patients were male and four patients (33.33%) were females aged 13-66 years (mean 40 years). There were nine patients with involvement of the thoracic spine and three of the lumbar, and one patient with two consecutive vertebrae affected. All patients had improved or remained with the neurological condition. Surgical complications were two cases of hemothorax, two cases of loosening of the screws, one of them requiring surgical revision, and a case of material failure and pseudarthrosis.</p></sec><sec><title>CONCLUSION:</title><p> Vertebrectomy by posterior approach in thoracolumbar spine with circumferential reconstruction and fusion can be performed safely for a variety of indications.</p></sec>
Subject
Clinical Neurology,Orthopedics and Sports Medicine,Surgery
Reference19 articles.
1. Corpectomia da coluna toracolombar com colocação de cage por acesso único via posterior: técnica cirúrgica e resultados de seis pacientes;Nogueira FM;Coluna/Columna,2011
2. Simultaneous anterior-posterior approach to the thoracic and lumbar spine for the radical resection of tumors followed by reconstruction and stabilization;Fourney DR;J Neurosurg.,2001
3. Total spondylectomy in chondrosarcoma arising from the seventh thoracic vertebra;Stener B;J Bone Joint Surg Br.,1971
4. Complete removal of three vertebrae for giant-cell tumour;Stener B;J Bone Joint Surg Br.,1971
5. Total excision of thoracic vertebrae;Roy-Camille R;Rev Chir Orthop Reparatrice Appar Mot.,1981