Clinical Analysis of Video-assisted Thoracoscopic Spinal Surgery in the Thoracic or Thoracolumbar Spinal Pathologies

Kim, Sung Jin; Sohn, Moon‐Jun; Ryoo, Ji Yoon; Kim, Yeon Soo; Whang, C J

doi:10.3340/jkns.2007.42.4.293

Cited by 23 publications

(12 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The VAS ameliorated 6.6 in group A versus 7.0 in group B. It is similar to the previous studies [ 20 , 21 ].…”

Section: Discussionsupporting

confidence: 91%

“…However, it is noteworthy that more pulmonary complications occurred in VAST group. High pulmonary complication rates were reported in previous anterior thoracic tuberculosis surgeries [ 4 , 20 , 23 ]. The risk of injury to the pulmonary parenchyma, such as lung laceration, atelectasis, pneumonia or empyema is significant concerns [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Management for Thoracic Spinal Tuberculosis Posterior Only versus Anterior Video-Assisted Thoracoscopic Surgery

et al. 2015

View full text Add to dashboard Cite

Study DesignA comparable retrospective study.ObjectTo compare the clinical outcomes of surgical treatment by posterior only and anterior video-assisted thoracoscopic surgery for thoracic spinal tuberculosis (TSTB).Method145 patients with TSTB treated by two different surgical procedures in our institution from June 2001 to June 2014 were studied. All cases were retrospectively analyzed and divided into two groups according to the given treatments: 75 cases (32F/43M) in group A performed single-stage posterior debridement, transforaminal thoracic interbody fusion and instrumentation, and 70 cases (30F/40M) in group B underwent anterior video-assisted thoracoscopic surgery (VATS). Clinical and radiographic results in the two groups were analyzed and compared.ResultsPatients in group A and B were followed up for an average of 4.6±1.8, 4.4±1.2 years, respectively. There was no statistically significant difference between groups in terms of the operation time, blood loss, bony fusion, neurological recovery and the correction angle of kyphotic deformity (P>0.05). Fewer pulmonary complications were observed in group A. Good clinical outcomes were achieved in both groups.ConclusionsBoth the anterior VATS and posterior approaches can effectively treat thoracic tuberculosis. Nevertheless, the posterior approach procedure obtained less morbidity and complications than the other.

show abstract

“…The VAS ameliorated 6.6 in group A versus 7.0 in group B. It is similar to the previous studies [ 20 , 21 ].…”

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Surgical Management for Thoracic Spinal Tuberculosis Posterior Only versus Anterior Video-Assisted Thoracoscopic Surgery

et al. 2015

View full text Add to dashboard Cite

show abstract

“…Numerous studies have described the use of videoassisted surgery in the management of spinal tumors [1,18,23,27, 37], however we found few studies regarding primary tumors of the spine. Mori et al [28] in 2011 described en bloc extirpation for an osteoid osteoma of a thoracic vertebral body through a thoracoscopic approach (without NAV).…”

Section: Discussionmentioning

confidence: 42%

“…Even with video-assisted surgery, concerns regarding violation of the spinal canal leading to potential harm to vascular, neural, and other vital structures have resulted in techniques to improve the accuracy of spinal procedures [23,25]. Several groups [4,12,15,42] have reported a spinal navigation system (NAV) provides precise localization of the anatomy structures and instruments with minimal radiation exposure.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Campos

Gasbarrini

Boriani

2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background A spinal osteoid osteoma is a rare benign tumor. The usual treatment involves complete curettage including the nidus. In the thoracic spine, conventional open surgical treatment usually carries relatively high surgical risks because of the close anatomic relationship to the spinal cord, nerve roots, and thoracic vessels, and pulmonary complications and postoperative pain. Case Report We report the case of a 16-year-old girl with a symptomatic osteoid osteoma at the T9 level whose lesion was currettaged using video-assisted thoracoscopic surgery (VATS) guided by a navigation system (VATS-NAV). There were no complications and the patient had immediate relief of the characteristic pain after surgery and was asymptomatic at 5 months' followup. Literature Review Progressive advances in the technology of spinal surgery have evolved to offer greater safety and less morbidity for patients. The advent of minimally invasive surgery has expanded the indications for VATS for anterior spinal disorders. Spinal navigation systems have become useful tools allowing localization and excision of the nidus of osteoid osteomas with minimal bone resection and without radiation exposure. Clinical Relevance The VATS-NAV combination in our patient allowed accurate localization and guidance for complete excision of a spinal osteoid osteoma through a minimally invasive approach without compromising spinal stability.

show abstract

“…25 More recently, minimally invasive techniques have come into favor, including fluoroscopic-assisted percutaneous intervertebral disc nucleoplasty, percutaneous laser disc decompression, and thoracoscopy. [27][28][29][30] Two MRI has become a more widely used diagnostic tool in veterinary medicine over the past decade and is reported to be the best method for early recognition of disc degeneration. 31,32 With the increased use of MRI at referral institutions, it is possible veterinarians will be more likely to find upper thoracic disc lesions.…”

Section: Discussionmentioning

confidence: 99%

Upper Thoracic Disc Disease (T1–T9) in Large-Breed Dogs

Hearon¹,

Berg²,

Bonczynski³

et al. 2014

Journal of the American Animal Hospital Association

View full text Add to dashboard Cite

The purpose of this study was to identify large-breed dogs with intervertebral disc disease (IVDD) in the upper thoracic region (thoracic vertebrae 1-9 [T1-T9]). Medical records of all dogs that were diagnosed with IVDD on MRI between February 2008 and September 2011 were reviewed. Of 723 dogs diagnosed with IVDD based on MRI, 527 (72.9%) were small-breed dogs. There were 21 (10.7%) large-breed dogs with IVDD in the T1-T9 region, whereas no small-breed dogs were identified with lesions in that region. The most common upper thoracic lesion sites were T2-T3 (33.3%) and T4-T5 (25.9%). The majority of dogs with T1-T9 lesions were German shepherd dogs (52.4%). Larger, older dogs were more likely to have T1-T9 lesions and more likely to have multiple regions with IVDD, in particular German shepherd dogs (35.1%). Dogs with T1-T9 IVDD were more likely to have IVDD in another region (66.7%). All large-breed dogs presenting with T3-L3 myelopathy should have diagnostic imaging performed of their entire thoracic and lumbar spine.

show abstract

Clinical Analysis of Video-assisted Thoracoscopic Spinal Surgery in the Thoracic or Thoracolumbar Spinal Pathologies

Cited by 23 publications

References 29 publications

Surgical Management for Thoracic Spinal Tuberculosis Posterior Only versus Anterior Video-Assisted Thoracoscopic Surgery

Surgical Management for Thoracic Spinal Tuberculosis Posterior Only versus Anterior Video-Assisted Thoracoscopic Surgery

Case Report: Curetting Osteoid Osteoma of the Spine Using Combined Video-assisted Thoracoscopic Surgery and Navigation

Upper Thoracic Disc Disease (T1–T9) in Large-Breed Dogs

Contact Info

Product

Resources

About