Minimally invasive thoracic corpectomy: 3-dimensional operative video of a direct lateral approach to decompression and anterior column reconstruction

Zachary A. Smith, Albert P. Wong, Tarek Y. El Ahmadieh, Salah G. Aoun, Raqeeb Haque, Bernard Bendok, Richard G. Fessler

Research output: Contribution to journalArticlepeer-review

Abstract

The goal of this 3-D operative video report is to demonstrate the technical nuances and intra-operative steps in a minimally invasive posterolateral approach to thoracic corpectomy and the reconstruction of the pathologic anterior column. A 3-D-operative video from surgery in a 54 year-old female with Stage IV breast cancer, metastatic to the cervical and thoracic spine, is presented. The patient had progressive lower extremity dysfunction secondary to a significant T12 lytic mass lesion with an associated intra-canal component causing significant cord compression. A minimally invasive direct lateral corpectomy was elected to remove this pathologic vertebral body, decompress the spine, and reconstruct the anterior column. The intra-operative steps were documented by intra-operative 3-D video and edited to demonstrate the steps in this procedure. As demonstrated in this case, minimally invasive techniques can be safely utilized for anterior column pathologies for decompression of the spine and reconstruction of the vertebral column. These techniques may minimize soft-tissue and approach-related injury. However, the focus of this report is to demonstrate the technical aspects of this surgery through 3-D video.

Original languageEnglish (US)
JournalNeurosurgery
DOIs
StateAccepted/In press - Nov 27 2012
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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