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Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation

Anterior thoracic spinal instrumentation has traditionally been supported by a posterior thoracic construct spanning from at least two levels above to two levels below; however, instrumentation at a single-level above and below may be adequate to support such a construct. We report two cases of tran...

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Autores principales: Aliotta, Rachel E., Roger, Eric P., Lipinski, Lindsay J., Fabiano, Andrew J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085914/
https://www.ncbi.nlm.nih.gov/pubmed/25013350
http://dx.doi.org/10.4103/0974-8237.135233
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author Aliotta, Rachel E.
Roger, Eric P.
Lipinski, Lindsay J.
Fabiano, Andrew J.
author_facet Aliotta, Rachel E.
Roger, Eric P.
Lipinski, Lindsay J.
Fabiano, Andrew J.
author_sort Aliotta, Rachel E.
collection PubMed
description Anterior thoracic spinal instrumentation has traditionally been supported by a posterior thoracic construct spanning from at least two levels above to two levels below; however, instrumentation at a single-level above and below may be adequate to support such a construct. We report two cases of transthoracic corpectomy with short-segment posterior fixation with success in long-term stabilization. Two patients with thoracic vertebral malignancy resulting in spinal deformity and spinal cord compression underwent transthoracic corpectomy with placement of an expandable cage proceeded by posterior fixation one level above and one level below. Using the Cobb angle, the degree of kyphosis was measured at 3, 6, and 12 months postoperatively. Long-term spinal stabilization was achieved in both patients. There was no significant increase in kyphosis and no evidence of hardware failure in either patient during the follow-up period. Transthoracic corpectomy with supplementary posterior fixation one level above and below may be adequate to stabilize the spine.
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spelling pubmed-40859142014-07-10 Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation Aliotta, Rachel E. Roger, Eric P. Lipinski, Lindsay J. Fabiano, Andrew J. J Craniovertebr Junction Spine Case Report Anterior thoracic spinal instrumentation has traditionally been supported by a posterior thoracic construct spanning from at least two levels above to two levels below; however, instrumentation at a single-level above and below may be adequate to support such a construct. We report two cases of transthoracic corpectomy with short-segment posterior fixation with success in long-term stabilization. Two patients with thoracic vertebral malignancy resulting in spinal deformity and spinal cord compression underwent transthoracic corpectomy with placement of an expandable cage proceeded by posterior fixation one level above and one level below. Using the Cobb angle, the degree of kyphosis was measured at 3, 6, and 12 months postoperatively. Long-term spinal stabilization was achieved in both patients. There was no significant increase in kyphosis and no evidence of hardware failure in either patient during the follow-up period. Transthoracic corpectomy with supplementary posterior fixation one level above and below may be adequate to stabilize the spine. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4085914/ /pubmed/25013350 http://dx.doi.org/10.4103/0974-8237.135233 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Aliotta, Rachel E.
Roger, Eric P.
Lipinski, Lindsay J.
Fabiano, Andrew J.
Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
title Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
title_full Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
title_fullStr Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
title_full_unstemmed Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
title_short Assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
title_sort assessment of long-term kyphosis following transthoracic corpectomy with single adjacent level posterior instrumentation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4085914/
https://www.ncbi.nlm.nih.gov/pubmed/25013350
http://dx.doi.org/10.4103/0974-8237.135233
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