Minimally Invasive Surgery Treatment for Thoracic Spine Tumor Removal: A Mini-Open, Lateral Approach

摘要: Study Design. Prospective registry. Objective. The objective of this study is to examine procedural and long-term outcomes a mini-open, lateral approach for tumor removal in the thoracic spine. Summary Background Data. majority spinal tumors present as metastatic Conventional surgical treatments have been associated with high rates approach-related morbidities well difficult working windows complete excision. Recent advances minimally invasive techniques, particularly mini-open (minimally invasive, not endoscopic) approaches, help reduce conventional procedures comparable outcomes. Methods. Twenty-one consecutively treated patients at 2 institutions were between 2007 2009. Treatment variables, including operating time, estimated blood loss, length hospital stay, complications collected, outcome measures, visual analog scale pain Oswestry disability index. Results. successfully approach. Operating stay 117 minutes, 291 mL, 2.9 days, respectively. One (4.8%) perioperative complication occurred (pneumonia). Mean follow-up was 21 months. Two had residual last follow-up. died during result other metastases (spine secondary). Visual improved from 7.7 index 52.7% 24.9% preoperative Conclusion. described here can be performed safely without many difficulties endoscopic procedures. Proper training techniques use direct-visualization retractors are required reproducibly treat these complex indications.