Total vertebractomy through posterior approach for thoracic tumors
| dc.creator | Jefferson Soares Leal | |
| dc.creator | Rogerio Lucio Resende | |
| dc.creator | Daniel Ferreira Ghedini | |
| dc.creator | Leandro Vinicius Vital | |
| dc.creator | Haroldo Oliveira de Freitas | |
| dc.creator | Luiz Eduardo Moreira Teixeira | |
| dc.date.accessioned | 2023-05-16T20:21:18Z | |
| dc.date.accessioned | 2025-09-09T01:16:40Z | |
| dc.date.available | 2023-05-16T20:21:18Z | |
| dc.date.issued | 2021 | |
| dc.format.mimetype | ||
| dc.identifier.doi | 10.17352/ojor000035 | |
| dc.identifier.issn | 26413116 | |
| dc.identifier.uri | https://hdl.handle.net/1843/53464 | |
| dc.language | eng | |
| dc.publisher | Universidade Federal de Minas Gerais | |
| dc.relation.ispartof | Open Journal of Orthopedics and Rheumatology | |
| dc.rights | Acesso Aberto | |
| dc.subject | Vértebras Torácicas | |
| dc.subject | Neoplasia | |
| dc.subject | Procedimentos Ortopédicos | |
| dc.subject.other | Vértebras Torácicas | |
| dc.subject.other | Neoplasia | |
| dc.subject.other | Procedimentos Ortopédicos | |
| dc.title | Total vertebractomy through posterior approach for thoracic tumors | |
| dc.type | Artigo de periódico | |
| local.citation.epage | 36 | |
| local.citation.issue | 1 | |
| local.citation.spage | 30 | |
| local.citation.volume | 6 | |
| local.description.resumo | 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. | |
| local.identifier.orcid | https://orcid.org/0000-0003-1058-3804 | |
| local.publisher.country | Brasil | |
| local.publisher.department | MED - DEPARTAMENTO DE APARELHO LOCOMOTOR | |
| local.publisher.initials | UFMG | |
| local.url.externa | https://www.peertechzpublications.com/articles/OJOR-6-135.php |