Combined approach to intrathoracic lesions invading the spinal cord.
The treatment of intrathoracic lesions invading the spine has two main issues: the surgical route to be preferred and the incidence of complications following the operation. As a matter of fact surgical treatment, performed in two stages, has a higher risk of cord accidents. Some authors have proposed a combined thoraco-vertebral surgical route which allows the exposition of both the spine and the chest. We experienced the utility of such a surgical approach in the treatment of two endothoracic lesions invading the thoracic spine and requiring the stabilization of the rachis. Satisfactory results were achieved without morbidity.
Janni
A
A
Department of Surgery, University of Pisa, Italy.
Davini
F
F
Lucchi
M
M
Consoli
V
V
Angeletti
C A
CA
D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002812:Chondroma / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D004445:Echinococcosis, Pulmonary / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012272:Ribs / Q000473:pathology / Q000601:surgery*; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000601:surgery*; D013899:Thoracic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed