Video-Assisted Thoracoscopic Minimally Invasive Anterior Interbody Fusion of the T11-T12 Level Using Direct Lateral Interbody Fusion Devices: A Case Report
Journal of Korean Society of Spine Surgery
; : 177-182, 2016.
Article
en Ko
| WPRIM
| ID: wpr-55581
Biblioteca responsable:
WPRO
ABSTRACT
STUDY DESIGN: Case report OBJECTIVES: To report a case of video-assisted thoracoscopic (VAT) minimally invasive anterior interbody fusion of the T11-T12 level using direct lateral interbody fusion (DLIF) devices. SUMMARY OF LITERATURE REVIEW: Interbody fusion of the thoracolumbar junction (especially T11-T12) is technically challenging from anterior, lateral, or posterior approaches. A VAT anterior interbody fusion approach using DLIF devices is a safe, minimally invasive alternative approach to the thoracolumbar spine. MATERIALS AND METHODS: A 37-year-old male pedestrian was struck by a car sustaining fracture-dislocation at the T11-T12 level. The accident resulted in complete paraplegia of both lower extremities and multiple lower extremity fractures. A classical instrumented posterolateral fusion from T8 to L3 and staged VAT anterior interbody fusion at the T11-T12 level were performed. RESULTS: At one year postoperatively, he was capable of independent ambulation using a wheelchair without back pain, and plain radiographs and CT scans showed a solid fusion at the T11-T12 level. CONCLUSIONS: VAT anterior interbody fusion using DLIF devices provides excellent access to the anterior spinal column with the added benefits of an improved field of view and can be a safe and effective alternative to open thoracotomy in the management of various thoracolumbar junction problems.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Paraplejía
/
Columna Vertebral
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Silla de Ruedas
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Toracotomía
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Tomografía Computarizada por Rayos X
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Caminata
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Dolor de Espalda
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Procedimientos Quirúrgicos Mínimamente Invasivos
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Cirugía Torácica Asistida por Video
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Extremidad Inferior
Límite:
Adult
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Humans
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Male
Idioma:
Ko
Revista:
Journal of Korean Society of Spine Surgery
Año:
2016
Tipo del documento:
Article