Vertebral body replacement by posterior approach for metastatic disease in the thoracic spine—modified technique using an expandable cage
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| 001 | 605486700 | ||
| 003 | CHVBK | ||
| 005 | 20210128100447.0 | ||
| 007 | cr unu---uuuuu | ||
| 008 | 210128e20150601xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00064-014-0321-4 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00064-014-0321-4 | ||
| 245 | 0 | 0 | |a Vertebral body replacement by posterior approach for metastatic disease in the thoracic spine—modified technique using an expandable cage |h [Elektronische Daten] |c [P.D. Trobisch, K. Verma] |
| 246 | 1 | |a Wirbelkörperersatz über posterioren Zugang bei Metastasen in der Brustwirbelsäule - modifizierte Technik mit expandierbarem Implantat | |
| 520 | 3 | |a Objective: To describe the technique of all-posterior vertebral body replacement using an expandable cage and angled instruments. This method facilitates implant seating with limited posterior decompression useful in the setting of metastatic disease. Indications: Patients with metastatic disease of the thoracic spine with or without spinal cord compression. Contraindications: Patients with a limited life expectancy of less than 6months. Multiple foci of metastatic disease in the spine. Surgical technique: A hemilaminectomy was performed followed by nerve root sacrifice. The pleura was mobilized away from the vertebral body, after which decompression and tumor resection was performed from an all-posterior approach. An expandable vertebral body cage was inserted with a rotational manoeuvre and expanded in situ. Postoperative management: The patient was mobilized on postoperative day1. A chest X-ray is also recommended to exclude incidental pneumothorax. Results: Four patients were operated by an all-posterior vertebral body replacement during a 6-month period. The average length of surgical procedure was 187min (range 165-220min). No patient required a transthoracic approach. There were no intra- or postoperative complications and all patients could be discharged to home self-ambulating. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Metastatic disease |2 nationallicence | |
| 690 | 7 | |a Tumor |2 nationallicence | |
| 690 | 7 | |a Vertebral body replacement |2 nationallicence | |
| 690 | 7 | |a Expandable cage |2 nationallicence | |
| 690 | 7 | |a Corpectomy |2 nationallicence | |
| 690 | 7 | |a Metastasierung |2 nationallicence | |
| 690 | 7 | |a Wirbelkörperersatz |2 nationallicence | |
| 690 | 7 | |a Expandierbarer Cage |2 nationallicence | |
| 690 | 7 | |a Korpektomie |2 nationallicence | |
| 700 | 1 | |a Trobisch |D P.D. |u Zentrum für Orthopädische Chirurgie, Eifelklinik St. Brigida, Kammerbruchstr. 8, 52152, Simmerath, Germany |4 aut | |
| 700 | 1 | |a Verma |D K. |u Department of Orthopaedic Surgery, Thomas-Jefferson University, Philadelphia, USA |4 aut | |
| 773 | 0 | |t Operative Orthopädie und Traumatologie |d Springer Berlin Heidelberg |g 27/3(2015-06-01), 270-280 |x 0934-6694 |q 27:3<270 |1 2015 |2 27 |o 64 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00064-014-0321-4 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00064-014-0321-4 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Trobisch |D P.D. |u Zentrum für Orthopädische Chirurgie, Eifelklinik St. Brigida, Kammerbruchstr. 8, 52152, Simmerath, Germany |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Verma |D K. |u Department of Orthopaedic Surgery, Thomas-Jefferson University, Philadelphia, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Operative Orthopädie und Traumatologie |d Springer Berlin Heidelberg |g 27/3(2015-06-01), 270-280 |x 0934-6694 |q 27:3<270 |1 2015 |2 27 |o 64 | ||