Video-assisted paraspinal approach for the stabilization of the complex spine.
Access to complex conditions of the thoracic spine and of the posterior mediastinum offers significant challenges, especially if the surgeon wishes to comply with the principles of minimal invasiveness. We report a successful vertical, paraspinal incision along with the subperiosteal removal of the overlying 2-cm rib segments combined with video assistance through single-access video-assisted thoracic surgery to perform a total T6 and partial T7 corpectomy for a metastatic multiple myeloma in a 50-year old man. This approach appears to provide excellent exposure and minimal morbidity when a reliable approach to the complex spine is needed.
Department of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy. gaetano.rocco@btopenworld.com
Gaetano
G
Rocco
Luca
L
Serra
Farrokh
F
Mehrabi-Kermani
Sergio
S
Setola
D006801:Humans; D007796:Laminectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009101:Multiple Myeloma / Q000556:secondary / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D013125:Spinal Neoplasms / Q000556:secondary / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome