Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report

There are multiple techniques for spinal cord decompression in the thoracic spine, each with its advantages and disadvantages, and requiring different surgical skills. Recently, minimally invasive techniques have been developed, reducing morbidity rates and achieving good functional results. We pres...

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Main Authors: Augusto Esteban Martínez, Felipe Jose Lanari Subiaur, Carlos María Mounier, José Ricardo Prina, Ramiro Gutiérrez, Enrique Augusto Gobbi
Format: Article
Language:English
Published: Asociacion Argentina de Ortopedia y Traumatologia 2019-02-01
Series:Revista de la Asociación Argentina de Ortopedia y Traumatologia
Subjects:
Online Access:https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/833
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spelling doaj-5ee4e25642af405e895894ffb71f7ab02020-11-25T00:08:11ZengAsociacion Argentina de Ortopedia y TraumatologiaRevista de la Asociación Argentina de Ortopedia y Traumatologia1515-17861852-74342019-02-01841707410.15417/issn.1852-7434.2019.84.1.833407Spinal cord decompression by minimally invasive transthoracic lateral approach. Case reportAugusto Esteban Martínez0Felipe Jose Lanari Subiaur1Carlos María Mounier2José Ricardo Prina3Ramiro Gutiérrez4Enrique Augusto Gobbi5CEMIC, Ciudad Autónoma de Buenos AiresGrupo Médico Vertebral, Ciudad Autónoma de Buenos AiresCEMIC, Ciudad Autónoma de Buenos AiresGrupo Médico Vertebral, Ciudad Autónoma de Buenos AiresGrupo Médico Vertebral, Ciudad Autónoma de Buenos AiresCEMIC Grupo Médico VertebralThere are multiple techniques for spinal cord decompression in the thoracic spine, each with its advantages and disadvantages, and requiring different surgical skills. Recently, minimally invasive techniques have been developed, reducing morbidity rates and achieving good functional results. We present the case of a 64-year-old male with spinal compression symptoms, central disc herniation calcified at the fifth thoracic vertebra, which migrated to the lower end of the sixth thoracic vertebra. Diagnosis was clear for spinal cord compression. Partial posterior corpectomy of the sixth vertebra was performed with a minimally invasive transthoracic transpleural lateral approach and without additional fixation. The patient had a good outcome on follow-up, without progression of neurological symptoms or residual rib pain. Minimally invasive lateral approaches are valid techniques for the treatment of compression disorders of the thoracic spine, with low rates of morbidity and mortality, and a rapid recovery.https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/833Columnaabordaje mininvasivodescompresióntoracotomía.Spineminimally invasive approachdecompressionthoracotomy.
collection DOAJ
language English
format Article
sources DOAJ
author Augusto Esteban Martínez
Felipe Jose Lanari Subiaur
Carlos María Mounier
José Ricardo Prina
Ramiro Gutiérrez
Enrique Augusto Gobbi
spellingShingle Augusto Esteban Martínez
Felipe Jose Lanari Subiaur
Carlos María Mounier
José Ricardo Prina
Ramiro Gutiérrez
Enrique Augusto Gobbi
Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report
Revista de la Asociación Argentina de Ortopedia y Traumatologia
Columna
abordaje mininvasivo
descompresión
toracotomía.Spine
minimally invasive approach
decompression
thoracotomy.
author_facet Augusto Esteban Martínez
Felipe Jose Lanari Subiaur
Carlos María Mounier
José Ricardo Prina
Ramiro Gutiérrez
Enrique Augusto Gobbi
author_sort Augusto Esteban Martínez
title Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report
title_short Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report
title_full Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report
title_fullStr Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report
title_full_unstemmed Spinal cord decompression by minimally invasive transthoracic lateral approach. Case report
title_sort spinal cord decompression by minimally invasive transthoracic lateral approach. case report
publisher Asociacion Argentina de Ortopedia y Traumatologia
series Revista de la Asociación Argentina de Ortopedia y Traumatologia
issn 1515-1786
1852-7434
publishDate 2019-02-01
description There are multiple techniques for spinal cord decompression in the thoracic spine, each with its advantages and disadvantages, and requiring different surgical skills. Recently, minimally invasive techniques have been developed, reducing morbidity rates and achieving good functional results. We present the case of a 64-year-old male with spinal compression symptoms, central disc herniation calcified at the fifth thoracic vertebra, which migrated to the lower end of the sixth thoracic vertebra. Diagnosis was clear for spinal cord compression. Partial posterior corpectomy of the sixth vertebra was performed with a minimally invasive transthoracic transpleural lateral approach and without additional fixation. The patient had a good outcome on follow-up, without progression of neurological symptoms or residual rib pain. Minimally invasive lateral approaches are valid techniques for the treatment of compression disorders of the thoracic spine, with low rates of morbidity and mortality, and a rapid recovery.
topic Columna
abordaje mininvasivo
descompresión
toracotomía.Spine
minimally invasive approach
decompression
thoracotomy.
url https://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/833
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