Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures

Background: Video-assisted thoracoscopic surgery is a minimally invasive procedure applied to the field of spine surgery since 1990s. Purpose: To explore the feasibility, safety, efficacy, and cosmetic results of thoracoscopy in management of thoracolumbar fractures. Methods: We used both the Thorac...

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Autores principales:	Hazem Elkosha, Nabil Ali, Hesham Elsaghi, Ashraf Ezz- Edeen, Mohamed Ebrahim
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2012
Materias:	Thoracolumbar fracture posterior fixation anterior approach thoracoscopy Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/a8e5958faf9341f78cdab88f89ff88d1
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spelling	oai:doaj.org-article:a8e5958faf9341f78cdab88f89ff88d12021-12-02T00:19:13ZThoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction FracturesDOI:10.21608/ESJ.2012.37572314-89502314-8969https://doaj.org/article/a8e5958faf9341f78cdab88f89ff88d12012-01-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3757.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background: Video-assisted thoracoscopic surgery is a minimally invasive procedure applied to the field of spine surgery since 1990s. Purpose: To explore the feasibility, safety, efficacy, and cosmetic results of thoracoscopy in management of thoracolumbar fractures. Methods: We used both the Thoracolumbar Injury Classification and Severity (TLICS) score and the Load Sharing Classification Score for selection of cases. Cases were operated on by a combined approach of posterior pedicle screw fixation and anterior thoracoscopic reconstruction and fusion with follow up of cases up to 12 months as regard clinical and radiological results. Results: Patients’ ages ranged from 22-56 years, including 8 males and 7 females. Falls were the most common cause and LV1 was the most common level. Two cases were reconstructed by a corpectomy cage, while the rest by tricortical iliac bone graft. All except two cases showed signs of fusion at 12 months, while all cases were cosmetically satisfied. Neither major complications nor death were reported. Conclusion: Video-assisted thoracoscopic reconstruction of thoracolumbar fractures is an effective, minimally invasive, relatively safe technique that needs further training to widen its applications.(2012ESJ008) Hazem Elkosha Nabil AliHesham ElsaghiAshraf Ezz- Edeen Mohamed EbrahimEgyptian Spine AssociationarticleThoracolumbarfractureposterior fixationanterior approachthoracoscopyNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 1, Iss 1, Pp 20-28 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Thoracolumbar fracture posterior fixation anterior approach thoracoscopy Neurology. Diseases of the nervous system RC346-429
spellingShingle	Thoracolumbar fracture posterior fixation anterior approach thoracoscopy Neurology. Diseases of the nervous system RC346-429 Hazem Elkosha Nabil Ali Hesham Elsaghi Ashraf Ezz- Edeen Mohamed Ebrahim Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures
description	Background: Video-assisted thoracoscopic surgery is a minimally invasive procedure applied to the field of spine surgery since 1990s. Purpose: To explore the feasibility, safety, efficacy, and cosmetic results of thoracoscopy in management of thoracolumbar fractures. Methods: We used both the Thoracolumbar Injury Classification and Severity (TLICS) score and the Load Sharing Classification Score for selection of cases. Cases were operated on by a combined approach of posterior pedicle screw fixation and anterior thoracoscopic reconstruction and fusion with follow up of cases up to 12 months as regard clinical and radiological results. Results: Patients’ ages ranged from 22-56 years, including 8 males and 7 females. Falls were the most common cause and LV1 was the most common level. Two cases were reconstructed by a corpectomy cage, while the rest by tricortical iliac bone graft. All except two cases showed signs of fusion at 12 months, while all cases were cosmetically satisfied. Neither major complications nor death were reported. Conclusion: Video-assisted thoracoscopic reconstruction of thoracolumbar fractures is an effective, minimally invasive, relatively safe technique that needs further training to widen its applications.(2012ESJ008)
format	article
author	Hazem Elkosha Nabil Ali Hesham Elsaghi Ashraf Ezz- Edeen Mohamed Ebrahim
author_facet	Hazem Elkosha Nabil Ali Hesham Elsaghi Ashraf Ezz- Edeen Mohamed Ebrahim
author_sort	Hazem Elkosha
title	Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures
title_short	Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures
title_full	Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures
title_fullStr	Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures
title_full_unstemmed	Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures
title_sort	thoracoscopic anterior reconstruction combined with posterior pedicle screw-based fixation in management of thoracolumbar junction fractures
publisher	Egyptian Spine Association
publishDate	2012
url	https://doaj.org/article/a8e5958faf9341f78cdab88f89ff88d1
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Thoracoscopic Anterior Reconstruction Combined with Posterior Pedicle Screw-Based Fixation in Management of Thoracolumbar Junction Fractures

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