Video-Assisted Thoracoscopic Minimally Invasive Anterior Interbody Fusion of the T11-T12 Level Using Direct Lateral Interbody Fusion Devices: A Case Report
Journal of Korean Society of Spine Surgery
;
: 177-182, 2016.
Article
in Korean
| WPRIM
| ID: wpr-55581
ABSTRACT
STUDY DESIGN:
Case reportOBJECTIVES:
To report a case of video-assisted thoracoscopic (VAT) minimally invasive anterior interbody fusion of the T11-T12 level using direct lateral interbody fusion (DLIF) devices. SUMMARY OF LITERATURE REVIEW Interbody fusion of the thoracolumbar junction (especially T11-T12) is technically challenging from anterior, lateral, or posterior approaches. A VAT anterior interbody fusion approach using DLIF devices is a safe, minimally invasive alternative approach to the thoracolumbar spine. MATERIALS ANDMETHODS:
A 37-year-old male pedestrian was struck by a car sustaining fracture-dislocation at the T11-T12 level. The accident resulted in complete paraplegia of both lower extremities and multiple lower extremity fractures. A classical instrumented posterolateral fusion from T8 to L3 and staged VAT anterior interbody fusion at the T11-T12 level were performed.RESULTS:
At one year postoperatively, he was capable of independent ambulation using a wheelchair without back pain, and plain radiographs and CT scans showed a solid fusion at the T11-T12 level.CONCLUSIONS:
VAT anterior interbody fusion using DLIF devices provides excellent access to the anterior spinal column with the added benefits of an improved field of view and can be a safe and effective alternative to open thoracotomy in the management of various thoracolumbar junction problems.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Spine
/
Wheelchairs
/
Thoracotomy
/
Tomography, X-Ray Computed
/
Walking
/
Back Pain
/
Minimally Invasive Surgical Procedures
/
Thoracic Surgery, Video-Assisted
/
Lower Extremity
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2016
Type:
Article
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