Video-Assisted Thoracoscopic Minimally Invasive Anterior Interbody Fusion of the T11-T12 Level Using Direct Lateral Interbody Fusion Devices: A Case Report.
10.4184/jkss.2016.23.3.177
- Author:
Seung Pyo SUH
1
;
Ji Hoon SHIM
;
Tae Yang SHIN
;
Joon Kuk KIM
;
Chang Nam KANG
Author Information
1. Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea. cnkang65@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Video-assisted thoracoscopic surgery;
Direct lateral interbody fusion;
Minimally invasive surgery;
Thoracolumbar junction
- MeSH:
Adult;
Back Pain;
Humans;
Lower Extremity;
Male;
Minimally Invasive Surgical Procedures;
Paraplegia;
Spine;
Thoracic Surgery, Video-Assisted;
Thoracotomy;
Tomography, X-Ray Computed;
Walking;
Wheelchairs
- From:Journal of Korean Society of Spine Surgery
2016;23(3):177-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Case report OBJECTIVES: To report a case of video-assisted thoracoscopic (VAT) minimally invasive anterior interbody fusion of the T11-T12 level using direct lateral interbody fusion (DLIF) devices. SUMMARY OF LITERATURE REVIEW: Interbody fusion of the thoracolumbar junction (especially T11-T12) is technically challenging from anterior, lateral, or posterior approaches. A VAT anterior interbody fusion approach using DLIF devices is a safe, minimally invasive alternative approach to the thoracolumbar spine. MATERIALS AND METHODS: A 37-year-old male pedestrian was struck by a car sustaining fracture-dislocation at the T11-T12 level. The accident resulted in complete paraplegia of both lower extremities and multiple lower extremity fractures. A classical instrumented posterolateral fusion from T8 to L3 and staged VAT anterior interbody fusion at the T11-T12 level were performed. RESULTS: At one year postoperatively, he was capable of independent ambulation using a wheelchair without back pain, and plain radiographs and CT scans showed a solid fusion at the T11-T12 level. CONCLUSIONS: VAT anterior interbody fusion using DLIF devices provides excellent access to the anterior spinal column with the added benefits of an improved field of view and can be a safe and effective alternative to open thoracotomy in the management of various thoracolumbar junction problems.
