[Retropleural paraspinal approach in the treatment of anterolateral thoracic spinal diseases].
The personal experience in the treatment of the spinal and paraspinal thoracic pathology using the paraspinal retropleural approach is presented. A total of 18 patients with neoplastic, traumatic and discal lesions were operated on. Improvement of neurological disturbances and pain was noted in all patients. The surgical technique for spinal cord and root decompression and also for anterior and/or posterior stabilization of the spine is described. The paraspinal retropleural approach is compared with the anterior transthoracic approach. The advantages of the paraspinal retropleural approach are: low rate of complications; allows a very wide decompression of the neurological elements as well as an anterior and/or posterior stabilization of the spine by a single approach; and it can be easily tailored for each lesion. These advantages are enhanced in the management of lesions located in the upper thoracic or thoracocervical levels.
González-Darder
J M
JM
Servicio de Neurocirugía, Hospital General de Castellón, Castellón de la Plana.
Pesudo-Martínez
J V
JV
Feliu-Tatay
R
R
Gil-Salú
J L
JL
Barcìa
J A
JA
D000293:Adolescent; D000328:Adult; D000368:Aged; D019299:Decompression, Surgical / Q000379:methods; D017586:Diskectomy / Q000379:methods; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D011183:Postoperative Complications; D012189:Retrospective Studies; D013118:Spinal Cord Diseases / Q000601:surgery*; D013122:Spinal Diseases / Q000601:surgery*; D013123:Spinal Fusion / Q000379:methods; D013126:Spinal Nerve Roots / Q000601:surgery; D013899:Thoracic Neoplasms / Q000601:surgery; D013904:Thoracic Vertebrae / Q000601:surgery*; D016896:Treatment Outcome
Vía paraespinal retropleural en el tratamiento de la patología anterolateral de la columna torácica.