Thoracoscopic assisted en bloc resection of a spine tumor.
Spine tumors are fairly common and the management is through a multimodality approach. Lesions of the thoracic and lumbar vertebrae have been treated with such extensive anterior and/or posterior approaches. The authors present a case of a 56-year-old lady with solitary T11 metastases from colonic carcinoma and a case of a 43-year-old lady with T5-T6 high-grade osteogenic sarcoma. The treatment consists of a wide vertebrectomy by posterior approach, after anterior release and sub-pleural dissection using a thoracoscopic approach. A thoracoscopic assisted anterior approach could reduce the duration and the morbidity of a vertebrectomy without affecting oncological management.
Cappuccio
Michele
M
Department of Orthopedics and Traumatology-Spine Surgery, Ospedale Maggiore C.A. Pizzardi, Largo Nigrisoli, 2, 40100 Bologna, Italy. michele.cappuccio@libero.it
Gasbarrini
Alessandro
A
Donthineni
Rakesh
R
Beisse
Rudolf
R
Boriani
Stefano
S
D000328:Adult; D002277:Carcinoma / Q000556:secondary / Q000601:surgery*; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D012516:Osteosarcoma / Q000473:pathology / Q000601:surgery*; D013125:Spinal Neoplasms / Q000556:secondary / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D016896:Treatment Outcome