Anterior Cervical Incision and Thoracotomy for Cervico-thoracic, Thoracic, and Thoracolumbar Spine Surgery: A Clinical Series

نویسندگان

  • Babak Ganjeifar Neurological Surgeon, Department of Neurological Surgery, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
  • Seyyed Hossein Fattahi Masoom Thoracic Surgeon, Cardio-Thoracic Surgery & Transplant Research Center,Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده مقاله:

Introduction:Surgical treatment of diseases in cervicothoracic, thoracic and thoracolumbar regions can be a challenging issue. Cooperation of the thoracic surgeons and spine surgeons can improve the outcomes and decrease the complications of patients who underwent these approaches.Materials & Methods: The participants of this study consisted of seventeenpatients suffering from different types of vertebral lesions such as spinal TB, primary tumor, metastasis, and scoliosis. These patients were operated through anterior lower cervical incision (without sternotomy), standard thoracotomy, and lower thoracotomy during 2001-2016. For five patients, exposure of cervicothoracic region was achieved through anterior cervical incision with extension to anterior chest wall (without sternotomy). Through performing posterolateral thoracotomy (left or right) on nine patients, spine surgeons had a better access to the vertebral pathologies. In three cases, a perfect access to the thoracoabdominal spine was obtained by performing lower thoracotomy with removal of the twelfth rib and release of diaphragm from the chest wall.Results: In total, seventeen patients [eleven males (65%) and 6 (35%) females] with the mean age of 33.6 ± 19.4 were operated. 6 (35%) patients suffered from cervicothoracic lesions, 8 (47%)cases had lesions in middle and lower thoracic spine, and 3 (18%) patients had lesion in the thoracolumbar vertebra. Postoperatively, no mortality was observed in the patients and complications were reported to be minimal.Conclusion: According to the findings, the joint corporation of thoracic and spine surgeons can improve exposure of cervicothoracic, thoracic, and thoracolumbar regions. Furthermore, this approach can decrease the complications of these complex surgeries.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

anterior cervical incision and thoracotomy for cervico-thoracic, thoracic, and thoracolumbar spine surgery: a clinical series

introduction:surgical treatment of diseases in cervicothoracic, thoracic and thoracolumbar regions can be a challenging issue. cooperation of the thoracic surgeons and spine surgeons can improve the outcomes and decrease the complications of patients who underwent these approaches.materials & methods: the participants of this study consisted of seventeenpatients suffering from different types o...

متن کامل

Cervical incision thoracic endoscopic surgery: a minimally invasive endoscopic approach in thoracic surgery.

Cervical incision thoracic surgery has recently been described. Currently, there is a move to increase the role of flexible endoscopy in surgery. The use of a flexible endoscope through a natural orifice into the thoracic cavity still remains ethically doubtful. The authors present a surgical experimental study using a flexible endoscope through a cervical incision for the exploration of both t...

متن کامل

Primary Aneurysmal Bone Cyst of the Cervical and Cervico-thoracic Regions of the Spine

Background: Primary aneurysmal bone cyst (ABC) is a locally aggressive neoplasm associated with bone destruction. The aim of this study is to present treatment options and their outcomes in ABC involving the cervical spine and the cervico-thoracic junction. Patients and Methods: Six patients with ABC of the spine were surgically treated. The cervical spine was involved in four and the cervicoth...

متن کامل

Twelve Contiguous Spinous Process Fracture of Cervico-Thoracic Spine

The clay-shoveler's fracture is an isolated avulsion fracture of the lower cervical or upper thoracic spinous process. Among them, multiple spinous process fractures are very rare. We present 34-year-old male patient who have multiple spinous process fractures with twelve contiguous levels of cervico-thoracic spine (from C4 to T8) after motorcycle accident. This case is multiple isolated spinou...

متن کامل

Huge cervico-thoracic thymic cyst.

We present a case of a 6 year-old boy who presented with a huge mass in the right side of the neck and changes its size with respiration and with straining. Computed tomography of the chest and neck showed a huge mass that was thought to be cystic hygroma. It was excised by both median sternotomy and a right cervical incision. Pathology revealed a thymic cyst.

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 4  شماره 4

صفحات  513- 515

تاریخ انتشار 2016-12-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023