2026-04-23T14:26:32Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/ojor.000035 2021-05-17 PTZ.OJOR:VOL6

Total vertebrectomy through posterior approach for thoracic tumors Jefferson Soares Leal Rogério Lúcio Chaves de Resende Daniel Ferreira Ghedini Leandro Vinícius Vital Haroldo Oliveira de Freitas JúniorLuiz Eduardo Moreira Teixeira<p>Objective: To demonstrate the benefits and complications of the single posterior approach through bilateral costotransversectomy in the treatment of neoplastic disease of the thoracic spine.</p><p>Methods: Twelve consecutive patients with thoracic spine tumors, who underwent single posterior approach with bilateral costotransversectomies were reviewed. Through posterior extrapleural access, total vertebrectomy and reconstruction were performed. In reconstruction, a cage was used anteriorly, and a pedicular screw fixation was used posteriorly. The minimum follow-up was sixteen months. The parameters analyzed were pain, neurological and functional capacity, survival time, fixation stability, and complications.&nbsp;</p><p>Results: All patients had improvement in their pain or in their functional capability. Among those with a preoperative neurological deficit, 71.4% showed improvement of at least one degree at postoperative evaluation. There was no functional or neurological decline in any patient. The observed complications were: one adult respiratory stress syndrome, one excessive bleeding, one pneumothorax, one infection and one local recurrence. All but one of these complications was reversed with appropriate treatment.&nbsp;</p><p>Conclusion: The posterolateral approach through costotransversectomy was safe and secure method for the resection and reconstruction of thoracic vertebrae affected by neoplastic disease.&nbsp;</p> Open Journal of Orthopedics and Rheumatology - Peertechz Publications 2021-05-17 Research Article https://doi.org/10.17352/ojor.000035 en Copyright © Jefferson Soares Leal et al.