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Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis
The selection of an anterior, lateral, or posterior approach to the cervicothoracic junction for surgical treatment of vertebral osteomyelitis is still a matter of debate. These ordinary approaches generally require an extensile exposure. This article describes a less invasive approach case of a ver...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742434/ https://www.ncbi.nlm.nih.gov/pubmed/29375921 http://dx.doi.org/10.1155/2017/2495041 |
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author | Morimoto, Tadatsugu Tsukamoto, Masatsugu Yoshihara, Tomohito Sonohata, Motoki Mawatari, Masaaki |
author_facet | Morimoto, Tadatsugu Tsukamoto, Masatsugu Yoshihara, Tomohito Sonohata, Motoki Mawatari, Masaaki |
author_sort | Morimoto, Tadatsugu |
collection | PubMed |
description | The selection of an anterior, lateral, or posterior approach to the cervicothoracic junction for surgical treatment of vertebral osteomyelitis is still a matter of debate. These ordinary approaches generally require an extensile exposure. This article describes a less invasive approach case of a vertebral osteomyelitis of T2/3 using a video-assisted operating technique of thoracic surgery (VATS). A 78-year-old female underwent anterior debridement and interbody fusion with bone graft at T2/3 using a lateral surgical approach through a right thoracotomy with VATS. The VATS through two small skin incisions in the axillary region provides a good view without requiring elevation of the scapula with extensile muscle dissection and rib resection. There was no complication without partial lobectomy due to pleural adhesion during the perioperative period. Currently, at 1 year after operation, the patient has no back pain with neurologically normal findings and no inflammation findings (CRP was 0.01 mg/dl). Although the operating field of the upper thoracic level in the lateral approach is generally deep and narrow, the VATS provides a good view and allows us to perform adequate debridement and bone fusion at the T2/3 level with a less invasive approach than those previously described anterior or laterally or posterior approach. |
format | Online Article Text |
id | pubmed-5742434 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-57424342018-01-28 Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis Morimoto, Tadatsugu Tsukamoto, Masatsugu Yoshihara, Tomohito Sonohata, Motoki Mawatari, Masaaki Case Rep Orthop Case Report The selection of an anterior, lateral, or posterior approach to the cervicothoracic junction for surgical treatment of vertebral osteomyelitis is still a matter of debate. These ordinary approaches generally require an extensile exposure. This article describes a less invasive approach case of a vertebral osteomyelitis of T2/3 using a video-assisted operating technique of thoracic surgery (VATS). A 78-year-old female underwent anterior debridement and interbody fusion with bone graft at T2/3 using a lateral surgical approach through a right thoracotomy with VATS. The VATS through two small skin incisions in the axillary region provides a good view without requiring elevation of the scapula with extensile muscle dissection and rib resection. There was no complication without partial lobectomy due to pleural adhesion during the perioperative period. Currently, at 1 year after operation, the patient has no back pain with neurologically normal findings and no inflammation findings (CRP was 0.01 mg/dl). Although the operating field of the upper thoracic level in the lateral approach is generally deep and narrow, the VATS provides a good view and allows us to perform adequate debridement and bone fusion at the T2/3 level with a less invasive approach than those previously described anterior or laterally or posterior approach. Hindawi 2017 2017-12-11 /pmc/articles/PMC5742434/ /pubmed/29375921 http://dx.doi.org/10.1155/2017/2495041 Text en Copyright © 2017 Tadatsugu Morimoto et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Morimoto, Tadatsugu Tsukamoto, Masatsugu Yoshihara, Tomohito Sonohata, Motoki Mawatari, Masaaki Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis |
title | Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis |
title_full | Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis |
title_fullStr | Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis |
title_full_unstemmed | Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis |
title_short | Minimally Invasive Endoscopic Approach to the Cervicothoracic Junction for Vertebral Osteomyelitis |
title_sort | minimally invasive endoscopic approach to the cervicothoracic junction for vertebral osteomyelitis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742434/ https://www.ncbi.nlm.nih.gov/pubmed/29375921 http://dx.doi.org/10.1155/2017/2495041 |
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