Open Access Research Article Article ID: OJOR-6-135

    Total vertebrectomy through posterior approach for thoracic tumors

    Jefferson Soares Leal*, Rogério Lúcio Chaves de Resende, Daniel Ferreira Ghedini, Leandro Vinícius Vital, Haroldo Oliveira de Freitas Júnior and Luiz Eduardo Moreira Teixeira

    Objective: To demonstrate the benefits and complications of the single posterior approach through bilateral costotransversectomy in the treatment of neoplastic disease of the thoracic spine.

    Methods: Twelve consecutive patients with thoracic spine tumors, who underwent single posterior approach with bilateral costotransversectomies were reviewed. Through posterior extrapleural access, total vertebrectomy and reconstruction were performed. In reconstruction, a cage was used anteriorly, and a pedicular screw fixation was used posteriorly. The minimum follow-up was sixteen months. The parameters analyzed were pain, neurological and functional capacity, survival time, fixation stability, and complications. 

    Results: All patients had improvement in their pain or in their functional capability. Among those with a preoperative neurological deficit, 71.4% showed improvement of at least one degree at postoperative evaluation. There was no functional or neurological decline in any patient. The observed complications were: one adult respiratory stress syndrome, one excessive bleeding, one pneumothorax, one infection and one local recurrence. All but one of these complications was reversed with appropriate treatment. 

    Conclusion: The posterolateral approach through costotransversectomy was safe and secure method for the resection and reconstruction of thoracic vertebrae affected by neoplastic disease. 


    Published on: May 17, 2021 Pages: 30-36

    Full Text PDF Full Text HTML DOI: 10.17352/ojor.000035
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