Three-dimensional thoracoscopic vertebral body replacement at the thoracolumbar junction.

Three-dimensional thoracoscopic vertebral body replacement at the thoracolumbar junction.
Oper Orthop Traumatol. 2018 Aug 03;:
Authors: Jacobs C, Plöger MM, Scheidt S, Roessler PP, Koob S, Kabir K, Jacobs C, Wirtz DC, Burger C, Pflugmacher R, Trommer F
Abstract
OBJECTIVE: The aim is to stabilize the thoracolumbar spine with a thoracoscopically implanted vertebral body replacement (VBR). To improve intraoperative depth perception and orientation, implantation is performed under three-dimensional (3D) thoracoscopic vision.
INDICATIONS: Vertebral burst fractures at the thoracolumbar junction (A4 AOSpine classification), pseudarthrosis, and posttraumatic instability with increasing kyphosis.
CONTRAINDICATIONS: Severe pulmonary dysfunctions, pulmonary or thoracic infections, previous thoracic surgery, and pulmonary adhesions.
SURGICAL TECHNIQUE: The patient is lying in a right lateral decubitus position. Localization of the fractured vertebra. Minimally invasive transthoracic approach. Perform single lung ventilation and insert the 3D thoracoscope two intercostal spaces above the working portal. Utilization of special binocular glasses for 3D vision of the operation field and secure resection of the fractured vertebra. Measurement of the bony defect and insertion of the expandable cage. Control of correct cage position under fluoroscopy. Insertion of a chest tube and inflate the left lung.
POSTOPERATIV...

Source: Operative Orthopadie und Traumatologie - August 3, 2018 Category: Orthopaedics Authors: Jacobs C, Plöger MM, Scheidt S, Roessler PP, Koob S, Kabir K, Jacobs C, Wirtz DC, Burger C, Pflugmacher R, Trommer F Tags: Oper Orthop Traumatol Source Type: research