Research
The authors describe a technique for anterior thoracic decompression via a posterolateral approach for spinal metastatic disease followed by anterior and posterior column stabilization. We discuss the benefits of decompression via a posterolateral approach including minimization of cord retraction, avoidance of thoracotomy, early mobilization and shorter hospital stay. Technical details are reviewed and difficulties of the approach discussed. & 2002 Published by Elsevier Science Ltd.
1 Centre for Minimally Invasive Neurosurgery, The Prince of Wales Private Hospital and 2 University of New South Wales, Randwick, Sydney
Summary
Endoscopic assisted spinal surgery is becoming widely accepted as an adjunct to established open techniques in spinal surgery. The aim of our report is to describe an alternative approach for the treatment of anterior thecal compression from thoracic metastatic disease.
Skeletal metastasis commonly develop in carcinoma patients with the spinal column being the most common site of secondary disease.1 As patient longevity improves, spinal surgeons will be presented with more patients suffering from symptomatic cord compression. Standard anterior vertebral body resection via thoracotomy results in prolonged ICU and hospital stay. In the future we will be forced to adapt to new techniques to reduce morbidity and reduce hospital stay.
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Keywords
endoscopy, decompression, posterolateral approach, neoplasia
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