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Clinical Article
Korean J Spine 2006;3(3): 139-144.
16
Video-Assisted Thoracoscopic Spine Reconstruction
Dae Sung Jung, M.D., Byung Chan Jeon, M.D., and Sung Dal Park, M.D.1
Department of Neurosurgery, Thoracic and Cardiovascular Surgery1, Kosin University Gospel Hospital and College of Medicine, Busan, Korea
Video-Assisted Thoracoscopic Spine Reconstruction
Dae Sung Jung, M.D., Byung Chan Jeon, M.D., and Sung Dal Park, M.D.1
Abstract
Objective: The purpose of this study was to report clinical implementation and results achieved using video-assisted thora- coscopic spine surgery.
Methods: Between 2002 and 2005, 9 patients with different pathologies involving the thoracic spine were operated on using video-assisted thoracoscopy. Four patients had tuberculosis, 2 patients pyogenic spondylitis, 2 patients trauma, and 1 patient metastasis. All patients underwent decompression, vertebral body reconstruction, and stablilization using this technique. Operation time, blood loss, duration of chest tube insertion, narcotic use, hospital length of stay, kyphotic angle, Frankel Grade, and complication were evaluated.
Results: The mean blood loss was 525ml. The mean duration of surgery was 4.2 hours. The mean duration of chest tube insertion was 6.5 days. The mean length of stay was 8.4 days. The mean narcotic usage was 7 days. The mean correction angle of kyophosis was 9.3 degrees. Myelopathy improved in all patients by a mean improvement of 0.67 Frankel grade. There was no com- plication such as hardware failure, atelectasis and pneumonia.
Conclusions: In patients undergoing thoracoscopic technique, surgery-related pain, morbidity, length of stay and complication were all reduced. Although this technique should not be considered as substitute for other approaches, we think that thoracic lesions can be safely treated using thoracoscopic technique and adequate training and consistent surgical experience are a necessity for spine surgeons performing this technique.
Keywords: Thoracoscopic surgery, Reconstruction, Stabilization
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