J Neurol Surg A Cent Eur Neurosurg 2014; 75(04): 305-309
DOI: 10.1055/s-0033-1334489
Surgical Technique
Georg Thieme Verlag KG Stuttgart · New York

Minimally Invasive Lateral Retroperitoneal Corpectomy for Treatment of Focal Thoracolumbar Kyphotic Deformity: Case Report and Review of the Literature

Rory J. Petteys
1   Department of Neurosurgery, Georgetown University Hospital, Washington, District of Columbia, United States
,
Faheem A. Sandhu
1   Department of Neurosurgery, Georgetown University Hospital, Washington, District of Columbia, United States
› Author Affiliations
Further Information

Publication History

16 February 2012

20 October 2012

Publication Date:
14 May 2013 (online)

Abstract

Background Corpectomy is a frequently performed procedure for pathologies of the anterior spine including neoplasms, fractures, deformities, and osteomyelitis. Traditional approaches to the anterior thoracic spine and thoracolumbar junction are associated with significant perioperative pulmonary complications and morbidity. Posterior and posterolateral approaches minimize some of these complications but are somewhat limited in visualization of the anterior elements.

Patient and Methods Here we report the case of a 49-year-old man with a remote thoracolumbar fracture and subsequent focal deformity treated with a minimally invasive lateral retroperitoneal corpectomy and open posterior arthrodesis.

Conclusion Minimally invasive lateral corpectomy is a safe and effective option for deformity correction. We discuss the relative advantages and disadvantages of this approach and review the relevant literature.

 
  • References

  • 1 Faciszewski T, Winter RB, Lonstein JE, Denis F, Johnson L. The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. A review of 1223 procedures. Spine 1995; 20: 1592-1599
  • 2 McAfee PC, Regan JR, Zdeblick T , et al. The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. A prospective multicenter study comprising the first 100 consecutive cases. Spine 1995; 20: 1624-1632
  • 3 Resnick DK, Benzel EC. Lateral extracavitary approach for thoracic and thoracolumbar spine trauma: operative complications. Neurosurgery 1998; 43: 796-802 , discussion 802–803
  • 4 Fessler RG, Sturgill M. Review: complications of surgery for thoracic disc disease. Surg Neurol 1998; 49: 609-618
  • 5 Rosenthal D, Marquardt G, Lorenz R, Nichtweiss M. Anterior decompression and stabilization using a microsurgical endoscopic technique for metastatic tumors of the thoracic spine. J Neurosurg 1996; 84: 565-572
  • 6 Stillerman CB, Chen TC, Couldwell WT, Zhang W, Weiss MH. Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. J Neurosurg 1998; 88: 623-633
  • 7 Holly LT, Schwender JD, Rouben DP, Foley KT. Minimally invasive transforaminal lumbar interbody fusion: indications, technique, and complications. Neurosurg Focus 2006; 20: E6
  • 8 Khoo LT, Palmer S, Laich DT, Fessler RG. Minimally invasive percutaneous posterior lumbar interbody fusion. Neurosurgery 2002; 51 (5, Suppl) S166-S1
  • 9 Park P, Foley KT. Minimally invasive transforaminal lumbar interbody fusion with reduction of spondylolisthesis: technique and outcomes after a minimum of 2 years' follow-up. Neurosurg Focus 2008; 25: E16
  • 10 Kim DH, O'Toole JE, Ogden AT , et al. Minimally invasive posterolateral thoracic corpectomy: cadaveric feasibility study and report of four clinical cases. Neurosurgery 2009; 64: 746-752 , discussion 752–753