caa a22 4500 605486700 CHVBK 20210128100447.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s00064-014-0321-4 doi (NATIONALLICENCE)springer-10.1007/s00064-014-0321-4 Vertebral body replacement by posterior approach for metastatic disease in the thoracic spine—modified technique using an expandable cage [Elektronische Daten] [P.D. Trobisch, K. Verma] Wirbelkörperersatz über posterioren Zugang bei Metastasen in der Brustwirbelsäule - modifizierte Technik mit expandierbarem Implantat 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. Springer-Verlag Berlin Heidelberg, 2014 Metastatic disease nationallicence Tumor nationallicence Vertebral body replacement nationallicence Expandable cage nationallicence Corpectomy nationallicence Metastasierung nationallicence Wirbelkörperersatz nationallicence Expandierbarer Cage nationallicence Korpektomie nationallicence Trobisch P.D. Zentrum für Orthopädische Chirurgie, Eifelklinik St. Brigida, Kammerbruchstr. 8, 52152, Simmerath, Germany aut Verma K. Department of Orthopaedic Surgery, Thomas-Jefferson University, Philadelphia, USA aut Operative Orthopädie und Traumatologie Springer Berlin Heidelberg 27/3(2015-06-01), 270-280 0934-6694 27:3<270 2015 27 64 https://doi.org/10.1007/s00064-014-0321-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00064-014-0321-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Trobisch P.D. Zentrum für Orthopädische Chirurgie, Eifelklinik St. Brigida, Kammerbruchstr. 8, 52152, Simmerath, Germany aut NATIONALLICENCE 700 1- Verma K. Department of Orthopaedic Surgery, Thomas-Jefferson University, Philadelphia, USA aut NATIONALLICENCE 773 0- Operative Orthopädie und Traumatologie Springer Berlin Heidelberg 27/3(2015-06-01), 270-280 0934-6694 27:3<270 2015 27 64