Anterior approach for surgery of thoracolumbar spine: surgical outcomes of series of one self-trained neurosurgeon

Hsu, Hsien-Ta; Teng, Ming‐Sheng; Yang, Stephen Shei‐Dei; Huang, Kuo-Feng; Wen, Chung-Shi; Li, Tin-Chou; Tai, Po-An

doi:10.1016/j.fjs.2013.06.004

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…A slight preponderance to male sex was observed where there were 30 patients, out of which 20 were males and 10 were females with male to female ratio being 2:1, whereas Anderson et al 1 reported an almost equal incidence in both sexes (0.9:1). On the other hand, Hsu et al 14 reported a female preponderance with male : female ratio being 0.4:1. In our study, there were 14 patients of Pott's spine of which 9 patients were males and 5 were females (M:F ratio, 1.8:1) compared to studies by Ramirez et al 24 and Kashani et al 23 , which were 1.6:1 and 1.3:1, respectively.…”

Section: Egyptian Spinementioning

confidence: 96%

Anterior Approach to the Thoracic and Thoracolumbar Spine: A Prospective Study in Our Hospital

Gotecha

Punia

Ranade

et al. 2020

Egyptian Spine Journal

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Background Data: Anterior approaches to the thoracic and thoracolumbar spine have several advantages including direct access to the lesion, less surgical bleeding, low risk of infection, and shorter segment fixation devices. It provides excellent visualization and access to the anterior thoracic spine, vertebral bodies, intervertebral disks, spinal canal, and nerve roots and may improve neurological outcome. Purpose: To evaluate various outcome parameters of the anterior approach to the thoracolumbar spine of various pathologies. Study Design: Prospective clinical case study. Patients and Methods: Thirty patients were included in this study. Patients with infections, malignancy, and trauma were included, while patients with medical comorbidities, extensive several spinal levels disease, posterior tension band injury and translational or rotational injury, and severe osteopenia or osteoporosis were excluded. The evaluation included the demographic data, clinical features, level of injury, and neurological status of these patients. All patients underwent operation through the anterior thoracolumbar approach. Outcome parameters included preoperative and perioperative data and postoperative ASIA, VAS, SCIM, and ODI. Results: The age of patients was 46.06±12.2 (range, 20-70) years. Twenty patients were males and 10 were females. Most patients were 41-50 and >50 years. Thirteen patients (43%) suffered from traumatic fractures (M:F 3.3:1), 14 (47%) tuberculous spondylodiscitis (M:F 1.8:1), and 3 (10%) metastatic compression fracture. Surgical time was 213.12 and 201.43 minutes in Rt and Lt side approach, respectively, while blood loss was 609.4 and 650 ml in Rt and Lt side approach, respectively. In the whole group, pre-and postoperative sensory ASIA score was 91.53 and 105.8; motor ASIA score was 66.2 and 77.13; VAS was 5.13 and 0.63; SCIM was 30.93 and 76.13; ODI was 74 and 16.53, respectively. Complications included wound infection (N=3), kyphosis (N=3), intraoperative vascular injury (N=2), new neurological deficit (N=2), and myocardial infarction (N=1).

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Section: Egyptian Spinementioning

confidence: 96%