caa a22 4500 445833890 CHVBK 20180317145324.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00586-010-1618-0 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1618-0 Modified total en bloc spondylectomy in thoracic vertebra tumour [Elektronische Daten] [Changan Guo, Zuoqin Yan, Jian Zhang, Chun Jiang, Jian Dong, Xiaoxing Jiang, Qinming Fei, Dehua Meng, Zhengrong Chen] Total en bloc spondylectomy (TES) for vertebral tumour was previously reported by Tomita through a single posterior approach using a T-saw. A modified total en bloc spondylectomy (MTES) technique is reported in the present study. The disc puncture needle with a sleeve was used to obliquely puncture from the posterior to the anterior direction. A T-saw was inserted through the sleeve and led out to the operator's side by the leading clamp. The disc was partially cut with the saw from its medial to lateral aspect. After a spinal fixation rod was applied on the operator's side, the residual discs on the opposite side were cut as described above. Six patients with thoracic vertebral tumours were operated on using the MTES technique. Five patients showed improvement in their neurological deficits postoperatively. There was no evidence of tumour recurrence at the final follow-up. The MTES is technically feasible with improved practicality and safety. Springer-Verlag, 2010 Modified total en bloc spondylectomy (MTES) nationallicence Thoracic vertebral tumour nationallicence Treatment nationallicence Guo Changan Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Yan Zuoqin Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Zhang Jian Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Jiang Chun Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Dong Jian Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Jiang Xiaoxing Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Fei Qinming Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Meng Dehua Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut Chen Zhengrong Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut European Spine Journal Springer-Verlag 20/4(2011-04-01), 655-660 0940-6719 20:4<655 2011 20 586 https://doi.org/10.1007/s00586-010-1618-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1618-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Guo Changan Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Yan Zuoqin Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Zhang Jian Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Chun Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Dong Jian Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Jiang Xiaoxing Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Fei Qinming Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Meng Dehua Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 700 1- Chen Zhengrong Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, 180 Fenglin Road, 20032, Shanghai, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/4(2011-04-01), 655-660 0940-6719 20:4<655 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer