Please use this identifier to cite or link to this item:
http://hdl.handle.net/1843/53464| Type: | Artigo de Periódico |
| Title: | Total vertebractomy through posterior approach for thoracic tumors |
| Authors: | Jefferson Soares Leal Rogerio Lucio Resende Daniel Ferreira Ghedini Leandro Vinicius Vital Haroldo Oliveira de Freitas Luiz Eduardo Moreira Teixeira |
| Abstract: | Objective: To demonstrate the benefits and complications of the single posterior approach through bilateral costotransversectomy in the treatment of neoplastic disease of the thoracic spine. Methods: Twelve consecutive patients with thoracic spine tumors, who underwent single posterior approach with bilateral costotransversectomies were reviewed.Through posterior extrapleural access, total vertebrectomy and reconstruction were performed. In reconstruction, a cage was used anteriorly, and a pedicular screw fixation was used posteriorly. The minimum follow-up was sixteen months. The parameters analyzed were pain, neurological and functional capacity, survival time, fixation stability, and complications. Results: All patients had improvement in their pain or in their functional capability. Among those with a preoperative neurological deficit, 71.4% showed improvement of at least one degree at postoperative evaluation. There was no functional or neurological decline in any patient. The observed complications were: one adult respiratory stress syndrome, one excessive bleeding, one pneumothorax, one infection and one local recurrence. All but one of these complications was reversed with appropriate treatment. Conclusion: The posterolateral approach through costotransversectomy was safe and secure method for the resection and reconstruction of thoracic vertebrae affected by neoplastic disease. |
| Subject: | Vértebras Torácicas Neoplasia Procedimentos Ortopédicos |
| language: | eng |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE APARELHO LOCOMOTOR |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.17352/ojor000035 |
| URI: | http://hdl.handle.net/1843/53464 |
| Issue Date: | 2021 |
| metadata.dc.url.externa: | https://www.peertechzpublications.com/articles/OJOR-6-135.php |
| metadata.dc.relation.ispartof: | Open Journal of Orthopedics and Rheumatology |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Total_vertebrectomy_through_posterior_approach_for pdfa.pdf | 5.53 MB | Adobe PDF | View/Open |
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