The endoscopically assisted simultaneous posteroanterior reconstruction of the thoracolumbar spine in prone position

Minimally invasive thoracoscopic approach to thoracolumbar junction fractures

“…In case of application of the anterior approach alone, loss of correction has been reported in the range of 1-4 degrees 9,20 . Biomechanical studies recommend a combined posterior-anterior approach 8,21 which has been used in indicated cases of spinal injuries by a number of authors 6,22 . The problem of the anterior approach in the conventional technique is a long surgical wound (20 cm) that creates morbidity of the thoracic or abdominal wall 3,23 .…”

“…A similar procedure was used by Verheyden. However, he prefers the patient in the prone position during the treatment of the anterior column, as it provides for simultaneous reduction from the posterior and anterior approaches in one stage 6 In our department, we prefer to treat the anterior column with the mini-invasive technique in the second stage, as a rule after 5 days, if the wound heals without complications after the posterior approach. To replace the vertebral body we preferably use allogenic tibial shaft bone filled with cancellous bone grafts from the resected vertebral body.…”

“…Therefore it was reserved for patients with a marked posttraumatic deformity or a structural disease of the spine requiring reconstruction of the anterior column of the spine. With the growing need of reconstruction of the anterior column of the spine and with the development of endoscopic techniques in surgery, a trend has increased in the recent years to use mini-invasive approaches to the anterior column of the spine by means of thoracoscopy 3,4 or mini-thoracotomy and thoracoscopy 5,6 . The aim of the present study was a retrospective evaluation of a group of patients with fracture in the region of the thoracolumbar junction.…”

Thoracoscopic assisted en bloc resection of a spine tumor

“…Thoracoscopy was increasingly used for vertebrectomy in the mid-1990s [10]. As the knowledge and the comfort of using such techniques expanded, the indications extended to vertebrectomy for tumor resections [10][11][12]. The improved exposure, reduction in operative time and blood loss, as well as improved recovery times was notable.…”

Erratum zu: Trauma Berufskrankh 2007 · 9 [Suppl 2]:S237¿S244

“…Diese Bandscheibenschädigungen sind als Ursache für die erheblichen sekundären Korrekturverluste nach alleiniger dorsaler Instrumentierung anzusehen [9,10,13,15,19]. Zusätz-lich zu diesen klinischen Erfahrungen zur bedeutenden Pathologie des ventralen "Druckpuffers" und "Querträgers" Bandscheibe hat die Einführung minimalinvasiver, rein endoskopischer oder endoskopisch assistierter "mini open"-Techniken [1,5,6,11,21] [7,12,16,22].…”