دورية أكاديمية
Modified Rib Sparing Direct Lateral Minimally Invasive Vertebrectomy for Treatment of Metastatic Spinal Cord Compression
| العنوان: | Modified Rib Sparing Direct Lateral Minimally Invasive Vertebrectomy for Treatment of Metastatic Spinal Cord Compression |
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| المؤلفون: | Mark Nowell, Benedict Hughes, Peter Loughenbury, Jake Timothy |
| المصدر: | Journal of Minimally Invasive Spine Surgery and Technique, Vol 4, Iss 1, Pp 19-23 (2019) |
| بيانات النشر: | Korean Minimally Invasive Spine Surgery Society, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Neurosciences. Biological psychiatry. Neuropsychiatry LCC:Diseases of the musculoskeletal system |
| مصطلحات موضوعية: | metastatic spinal cord compression, vertebrectomy, xlif, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571, Diseases of the musculoskeletal system, RC925-935 |
| الوصف: | Objective Metastatic spinal cord compression (MSCC) is a common complication of metastatic disease with neurological morbidity in the thoracic and upper lumbar spine. We describe a modified rib-sparing direct lateral minimally invasive (MIS) approach. for the purpose of vertebrectomy. This technique obviates the need for rib resection and chest drain, facilitating early mobilisation. This is especially applicable to a sub-group of patients who may not be well enough for an open approach. Method Technical note and retrospective case series in a single centre over a 5 year period. Results 14 patients were identified who underwent the MIS approach vertebrectomy for MSCC. 12/14 underwent posterior fixation, and 2 underwent vertebroplasty. 11/14 (79%) had less than 1L blood loss during the procedure. The mean duration of the procedure was 5 hours 51 minutes. 5/14 (36%) avoided high dependency unit (HDU) care, and the median duration of time spent in HDU was 1.5 days. The median length of stay in hospital was 16 days, and 4/14 (29%) were discharged within 1 week. There were 1/14 major complications requiring revision surgery. Conclusion A modified rib-sparing MIS approach for vertebrectomy is well tolerated in the treatment of MSCC and is associated with low blood loss and short hospital stays. This may be an option in patients who otherwise may not be considered for an anterior reconstruction. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2508-2043 |
| Relation: | http://www.jmisst.org/upload/pdf/jmisst-2018-00416.pdf; https://doaj.org/toc/2508-2043 |
| DOI: | 10.21182/jmisst.2018.00416 |
| URL الوصول: | https://doaj.org/article/47f679076adc4e7293271b1e11c73bec |
| رقم الأكسشن: | edsdoj.47f679076adc4e7293271b1e11c73bec |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25082043 |
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| DOI: | 10.21182/jmisst.2018.00416 |