Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion

It can be difficult to avoid violating the pleura during the retropleural approach to the thoracolumbar spine. In this video, the authors resect a short segment of rib to allow more room for pleural dissection during a minimally invasive (MIS) lateral retropleural approach. After a lateral MIS skin...

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Bo, Kuzmik, Gregory A., Shabani, Saman, Agarwal, Nitin, Jamieson, Alysha, Wozny, Thomas, Ammanuel, Simon, Mummaneni, Praveen V., Chou, Dean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558916/
https://www.ncbi.nlm.nih.gov/pubmed/36284731
http://dx.doi.org/10.3171/2022.3.FOCVID21138
_version_ 1784807550464557056
author Li, Bo
Kuzmik, Gregory A.
Shabani, Saman
Agarwal, Nitin
Jamieson, Alysha
Wozny, Thomas
Ammanuel, Simon
Mummaneni, Praveen V.
Chou, Dean
author_facet Li, Bo
Kuzmik, Gregory A.
Shabani, Saman
Agarwal, Nitin
Jamieson, Alysha
Wozny, Thomas
Ammanuel, Simon
Mummaneni, Praveen V.
Chou, Dean
author_sort Li, Bo
collection PubMed
description It can be difficult to avoid violating the pleura during the retropleural approach to the thoracolumbar spine. In this video, the authors resect a short segment of rib to allow more room for pleural dissection during a minimally invasive (MIS) lateral retropleural approach. After a lateral MIS skin incision, the rib is dissected and removed, clearly identifying the retropleural space. The curvature of the rib can then be followed, decreasing the risk of pleural violation. The pleura can then be mobilized ventrally until the spine is accessed. Managing the diaphragm is also illustrated by separating the fibers without a traditional cut through the muscle. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID21138
format Online
Article
Text
id pubmed-9558916
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher American Association of Neurological Surgeons
record_format MEDLINE/PubMed
spelling pubmed-95589162022-10-24 Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion Li, Bo Kuzmik, Gregory A. Shabani, Saman Agarwal, Nitin Jamieson, Alysha Wozny, Thomas Ammanuel, Simon Mummaneni, Praveen V. Chou, Dean Neurosurg Focus Video Article It can be difficult to avoid violating the pleura during the retropleural approach to the thoracolumbar spine. In this video, the authors resect a short segment of rib to allow more room for pleural dissection during a minimally invasive (MIS) lateral retropleural approach. After a lateral MIS skin incision, the rib is dissected and removed, clearly identifying the retropleural space. The curvature of the rib can then be followed, decreasing the risk of pleural violation. The pleura can then be mobilized ventrally until the spine is accessed. Managing the diaphragm is also illustrated by separating the fibers without a traditional cut through the muscle. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID21138 American Association of Neurological Surgeons 2022-07-01 /pmc/articles/PMC9558916/ /pubmed/36284731 http://dx.doi.org/10.3171/2022.3.FOCVID21138 Text en © 2022, The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the CC BY license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Li, Bo
Kuzmik, Gregory A.
Shabani, Saman
Agarwal, Nitin
Jamieson, Alysha
Wozny, Thomas
Ammanuel, Simon
Mummaneni, Praveen V.
Chou, Dean
Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
title Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
title_full Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
title_fullStr Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
title_full_unstemmed Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
title_short Short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
title_sort short segment rib resection to mitigate risk of pleural violation during retropleural lateral thoracic interbody fusion
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558916/
https://www.ncbi.nlm.nih.gov/pubmed/36284731
http://dx.doi.org/10.3171/2022.3.FOCVID21138
work_keys_str_mv AT libo shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT kuzmikgregorya shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT shabanisaman shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT agarwalnitin shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT jamiesonalysha shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT woznythomas shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT ammanuelsimon shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT mummanenipraveenv shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion
AT choudean shortsegmentribresectiontomitigateriskofpleuralviolationduringretropleurallateralthoracicinterbodyfusion

Ejemplares similares