Korean J Thorac Cardiovasc Surg.
2006 Jan;39(1):80-84.
Thoracoscopic Anterior Release of the Spine in Total en Bloc Spondylectomy for Primary Thoracic Spinal Tumor : A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Korea.
- 2Department of Orthopedic Surgery, St. Vincent's Hospital, The Catholic University of Korea, Korea. ebstein8@hitel.net
Abstract
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A combined anterolateral and posterior approach with thoracotomy has been recommended as the traditional surgical approach for the tumors of the thoracic spine. Recently, because of the morbidity associated with open thoracotomy, the thoracoscopically assisted surgical technique was introduced successfully in thoracic spinal surgery. Herein, we report a combined surgical technique for giant cell tumor of the thoracic spine (T10) consisting of bilateral thoracoscopic anterior release of the spine followed by a posterior en bloc spondylectomy and reconstruction by orthopedic surgeons. The thoracoscopic spinal surgery is safe and effective alternative for other open thoracotomic procedures in the approach to the anterior thoracic spine, avoiding the disadvantage inherent to thoracotomy.