|
KMID : 0388720160230030177
|
|
Journal of Korean Society of Spine Surgery
2016 Volume.23 No. 3 p.177 ~ p.182
|
|
|
Video-Assisted Thoracoscopic Minimally Invasive Anterior Interbody Fusion of the T11-T12 Level Using Direct Lateral Interbody Fusion Devices: A Case Report
|
|
Suh Seung-Pyo
Shim Ji-Hoon
Shin Tae-Yang
Kim Joon-Kuk
Kang Chang-Nam
|
|
|
Abstract
|
|
|
Study Design: Case report
Objectives: To report a case of video-assisted thoracoscopic (VAT) minimally invasive anterior interbody fusion of the T11-T12 level using direct lateral interbody fusion (DLIF) devices.
Summary of Literature Review: Interbody fusion of the thoracolumbar junction (especially T11-T12) is technically challenging from anterior, lateral, or posterior approaches. A VAT anterior interbody fusion approach using DLIF devices is a safe, minimally invasive alternative approach to the thoracolumbar spine.
Materials and Methods: A 37-year-old male pedestrian was struck by a car sustaining fracture-dislocation at the T11-T12 level. The accident resulted in complete paraplegia of both lower extremities and multiple lower extremity fractures. A classical instrumented posterolateral fusion from T8 to L3 and staged VAT anterior interbody fusion at the T11-T12 level were performed.
Results: At one year postoperatively, he was capable of independent ambulation using a wheelchair without back pain, and plain radiographs and CT scans showed a solid fusion at the T11-T12 level.
Conclusions: VAT anterior interbody fusion using DLIF devices provides excellent access to the anterior spinal column with the added benefits of an improved field of view and can be a safe and effective alternative to open thoracotomy in the management of various thoracolumbar junction problems.
|
|
|
KEYWORD
|
|
|
Video-assisted thoracoscopic surgery, Direct lateral interbody fusion, Minimally invasive surgery, Thoracolumbar junction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|