title: Mini-open transpedicular corpectomies with expandable cage reconstruction. Technical note.
abstract: Transpedicular corpectomies are frequently used to perform anterior surgery from a posterior approach. Minimally invasive thoracolumbar corpectomies have been previously described, but these are performed through a unilateral approach. Bilateral access must be obtained for a circumferential decompression when using such techniques. The authors describe a technique that allows for a mini-open transpedicular corpectomy, 360° decompression, and expandable cage reconstruction through a single posterior approach. This is performed using percutaneous pedicle screws, the trap-door rib-head osteotomy, and a single midline fascial exposure. The authors describe this technique with intraoperative photos and a video demonstrating the technique.
authors.affiliation: Department of Neurosurgery, University of California, San Francisco, California 94143-0112, USA. choud@neurosurg.ucsf.edu
authors.forename: Dean
authors.initials: D
authors.lastname: Chou
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Lu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D015331:Cohort Studies; D019299:Decompression, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D007796:Laminectomy / Q000379:methods*; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D012086:Reoperation; D012272:Ribs / Q000601:surgery; D013117:Spinal Cord Compression / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery; D014741:Video Recording; D055815:Young Adult