The Success of Thoracoscopic Anterior Fusion in a Consecutive Series of 112 Pediatric Spinal Deformity Cases

Newton, Peter O.; White, Klane K.; Faro, Frances D.; Gaynor, Tracey

doi:10.1097/01.brs.0000153404.62017.75

Cited by 67 publications

(39 citation statements)

References 13 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…53,77 In addition, VATS has been used to place anterior instrumentation for correction of thoracic and thoracolumbar AIS. 2,16,21,41,42,54,56,58,73,81 Retrospective reviews have suggested that thoracoscopic spinal instrumentation compares favorably with anterior instrumentation through thoracotomy 16,54 and with posterior fusion. 41,81 Although a limited number of groups demonstrate acceptable results using VATS for the surgical treatment of AIS, this approach is not widely used, probably due in part to the relatively steep learning curve, 43,58,81 limitations in curve correction, 2,21,36,58 and the high incidence of pulmonary complications.…”

Section: Neurosurg Focus / Volume 25 / August 2008mentioning

confidence: 99%

“…41,81 Although a limited number of groups demonstrate acceptable results using VATS for the surgical treatment of AIS, this approach is not widely used, probably due in part to the relatively steep learning curve, 43,58,81 limitations in curve correction, 2,21,36,58 and the high incidence of pulmonary complications. 56,58,73 Development of a minimally invasive approach for the treatment of AIS that applies more conventional skills and avoids entering the chest would be a significant advancement in the surgical treatment of this deformity. Lateral interbody discectomy and fusion systems have been developed for the lumbar spine, including DLIF (Medtronic) and XLIF (NuVasive).…”

Section: Neurosurg Focus / Volume 25 / August 2008mentioning

confidence: 99%

See 1 more Smart Citation

Minimally invasive posterior thoracic fusion

Smith¹,

Ogden²,

Fessler³

2008

FOC

View full text Add to dashboard Cite

Thoracic spine fusion may be indicated in the surgical treatment of a wide range of pathologies, including trauma, deformity, tumor, and infection. Conventional open procedures for surgical treatment of thoracic spine disease can be associated with significant approach-related morbidity, which has motivated the development of minimally invasive approaches. Thoracoscopy and, later, video-assisted thoracoscopic surgery were developed to address diseases of the thoracic cavity and subsequently adapted for thoracic spine surgery. Although video-assisted thoracoscopic surgery has been used to treat a variety of thoracic spine diseases, its relatively steep learning curve and high rate of pulmonary complications have limited its widespread use. These limitations have motivated the development of minimally invasive posterior approaches to address thoracic spine pathology without the added risk of morbidity involved in surgically entering the chest. Many of these advances are ongoing and represent the forefront of minimally invasive spine surgery. As these techniques are developed and applied, it will be important to assess their equivalence or superiority in comparison with standard open techniques using prospective trials. In this paper the authors focus on minimally invasive posterior thoracic procedures that include fusion, and provide a review of the current literature, a discussion of future pathways for development, and case examples. The topic is divided by pathology into sections including trauma, deformity, spinal column tumors, and osteomyelitis.

show abstract

Section: Neurosurg Focus / Volume 25 / August 2008mentioning

confidence: 99%

Section: Neurosurg Focus / Volume 25 / August 2008mentioning

confidence: 99%

Minimally invasive posterior thoracic fusion

Smith¹,

Ogden²,

Fessler³

2008

FOC

View full text Add to dashboard Cite

show abstract

“…23 Thoracoscope-assisted procedures for spinal deformity are performed for anterior releases to increase both the flexibility of the spine and the fusion surface area with anterior intervertebral fusions. 25,26,40 Advantages of thoracoscopic surgery for spinal deformity include decreased surgical trauma, scarring, postoperative pain, and perioperative morbidity. In addition, compared with posterior approaches, anterior procedures in spinal deformity surgeries can reduce the number of fusion segments required to achieve curve correction.…”

Section: Spinal Deformitymentioning

confidence: 99%

Maximizing the potential of minimally invasive spine surgery in complex spinal disorders

Hsieh

Koski²,

Sciubba

et al. 2008

FOC

View full text Add to dashboard Cite

Minimally invasive surgery (MIS) in the spine was primarily developed to reduce approach-related morbidity and to improve clinical outcomes compared with those following conventional open spine surgery. Over the past several years, minimally invasive spinal procedures have gained recognition and their utilization has increased. In particular, MIS is now routinely used in the treatment of degenerative spine disorders and has been shown to be as effective as conventional open spine surgeries. Although the procedures are not yet widely recognized in the context of complex spine surgery, the true potential in minimizing approach-related morbidity is far greater in the treatment of complex spinal diseases such as spinal trauma, spinal deformities, and spinal oncology. Conventional open spine surgeries for complex spinal disorders are often associated with significant soft tissue disruption, blood loss, prolonged recovery time, and postsurgical pain. In this article the authors review numerous cases of complex spine disorders managed with MIS techniques and discuss the current and future implications of these approaches for complex spinal pathologies.

show abstract

“…2 It occurs as a postoperative complication after various surgeries involving structures in the neck and thorax. [39][40][41][42][43][44] Other surgeries that can be complicated by chylothorax in children include those for treatment of scoliosis, [45][46][47][48] vascular rings, 49,50 and diaphragmatic hernia. 51 In children, the reported incidence of chylothorax after cardiothoracic surgery is between 0.85% and 6.6%.…”

Section: Causes Of Chylothoraxmentioning

confidence: 99%

Chylothorax in Infants and Children

2014

View full text Add to dashboard Cite

Chylothorax, the accumulation of chyle in the pleural space, is a relatively rare cause of pleural effusion in children. It can cause significant respiratory morbidity, as well as lead to malnutrition and immunodeficiency. Thus, a chylothorax requires timely diagnosis and treatment. This review will first discuss the anatomy and physiology of the lymphatic system and discuss various causes that can lead to development of a chylothorax in infants and children. Then, methods of diagnosis and treatment will be reviewed. Finally, complications of chylothorax will be reviewed. Pediatrics 2014;133:722-733

show abstract

The Success of Thoracoscopic Anterior Fusion in a Consecutive Series of 112 Pediatric Spinal Deformity Cases

Cited by 67 publications

References 13 publications

Minimally invasive posterior thoracic fusion

Minimally invasive posterior thoracic fusion

Maximizing the potential of minimally invasive spine surgery in complex spinal disorders

Chylothorax in Infants and Children

Contact Info

Product

Resources

About