Commentary: Minimally Invasive Single-Stage Removal of a Thoracic Dumbbell Tumor From a Posterior Approach

2019 ◽  
Vol 16 (5) ◽  
pp. E142-E143
Author(s):  
Enrico Tessitore ◽  
Claudio Schonauer
2018 ◽  
Vol 16 (5) ◽  
pp. 641-641 ◽  
Author(s):  
Federico Landriel ◽  
Santiago Hem ◽  
Claudio Yampolsky

Abstract Dumbbell-shaped thoracic tumors usually involve the spinal canal and the posterior thoracic cavity. Gross total resection is the treatment of choice, but techniques for surgical excision remain controversial. An anterolateral transthoracic approach may remove the paravertebral component of the tumor, but has limited or no control of the intracanal lesion. A combined posteroanterior approach requires a 2-stage surgery with significant morbidity. The preferred approach depends mainly on the tumor location, size, shape, and its specific anatomical relationship with the surrounding vital structures. We present a surgical video of a single-stage posterior minimally invasive approach for the management of a thoracic dumbbell tumor.


2012 ◽  
Vol 53 (3) ◽  
pp. 611 ◽  
Author(s):  
Kei Ando ◽  
Shiro Imagama ◽  
Norimitsu Wakao ◽  
Kenichi Hirano ◽  
Ryoji Tauchii ◽  
...  

2013 ◽  
Vol 35 (v2supplement) ◽  
pp. Video19 ◽  
Author(s):  
Jon Kimball ◽  
Andrew Yew ◽  
Ruth Getachew ◽  
Daniel C. Lu

Transforaminal lumbar interbody fusion (TLIF) was originally developed as a method for circumferential fusion via a single posterior approach and is now an extremely common procedure for the treatment of lumbar instability. More recently, minimally invasive techniques have been applied to this procedure with the goal of decreasing tissue disruption, blood loss and postoperative patient discomfort. Here we describe a minimally invasive tubular TLIF on a 60-year-old male with radiculopathy from an unstable L4–5 spondylolisthesis.The video can be found here: http://youtu.be/0BbxQiUmtRc.


2019 ◽  
Vol 18 (1) ◽  
pp. e2300
Author(s):  
A. Khandekar ◽  
S. Pandey ◽  
B. Abraham ◽  
A.I. Mohammad

2011 ◽  
Vol 14 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Dean Chou ◽  
Daniel C. Lu

Transpedicular corpectomies are frequently used to perform anterior surgery from a posterior approach. Minimally invasive thoracolumbar corpectomies have been previously described, but these are performed through a unilateral approach. Bilateral access must be obtained for a circumferential decompression when using such techniques. The authors describe a technique that allows for a mini-open transpedicular corpectomy, 360° decompression, and expandable cage reconstruction through a single posterior approach. This is performed using percutaneous pedicle screws, the trap-door rib-head osteotomy, and a single midline fascial exposure. The authors describe this technique with intraoperative photos and a video demonstrating the technique.


2017 ◽  
Vol 143 (2) ◽  
pp. 147 ◽  
Author(s):  
Hsin-Ching Lin ◽  
Michael Friedman ◽  
Hsueh-Wen Chang ◽  
Lauren Bonzelaar ◽  
Anna M. Salapatas ◽  
...  

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