Results and complications of vertebrectomy with posterior approach after 2-year follow-up

Juliano Almeida E Silva,Adriano Passáglia Esperidião,André Luiz Passos Cardoso,Sérgio Daher,Murilo Tavares Daher,Wilson Eloy Pimenta Júnior

doi:10.1590/s1808-185120151402132533

Juliano Almeida E Silva, Adriano Passáglia Esperidião + Show 4 more

Open Access

https://doi.org/10.1590/s1808-185120151402132533

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Journal: Coluna/Columna	Publication Date: Jun 1, 2015
License type: cc-by

Affiliation: Universidade Federal de Goiás

Abstract

<sec><title>OBJECTIVE:</title> To describe the surgical technique for vertebrectomy by posterior single approach in the thoracic and thoracolumbar spine with circumferential reconstruction and arthrodesis, and evaluate retrospectively the results and complications after 2 years of follow-up in patients undergoing this technique.</sec><sec><title>METHODS:</title> Retrospective analysis of medical records and imaging studies of 12 patients with vertebrectomy indication for various pathologies, undergoing this surgical technique.</sec><sec><title>RESULTS:</title> Eight (66.67%) patients were male and four patients (33.33%) were females aged 13-66 years (mean 40 years). There were nine patients with involvement of the thoracic spine and three of the lumbar, and one patient with two consecutive vertebrae affected. All patients had improved or remained with the neurological condition. Surgical complications were two cases of hemothorax, two cases of loosening of the screws, one of them requiring surgical revision, and a case of material failure and pseudarthrosis.</sec><sec><title>CONCLUSION:</title> Vertebrectomy by posterior approach in thoracolumbar spine with circumferential reconstruction and fusion can be performed safely for a variety of indications.</sec>

Highlights

Vertebral resection by the single posterior approach was described in the 1970s by Roy-Camille and Stener for the treatment of tumoral lesions,[1,2,3,4] and subsequently popularized by other authors.[5]
This technique can be used to treat various diseases that affect the spine, enabling decompression of the neurological structures, reconstruction of the anterior spine, correction of deformities, resection of pathological tissue, and posterior segmental stabilization.[6]. This procedure was classically performed via a double approach, 1
In cases with significant osteoporosis, performing an extension of the arthrodesis by at least three levels above and three levels below is recommended

Summary

Introduction

Vertebral resection by the single posterior approach was described in the 1970s by Roy-Camille and Stener for the treatment of tumoral lesions,[1,2,3,4] and subsequently popularized by other authors.[5] This technique can be used to treat various diseases that affect the spine, enabling decompression of the neurological structures, reconstruction of the anterior spine, correction of deformities, resection of pathological tissue (in cases of tumors or infections), and posterior segmental stabilization.[6] This procedure was classically performed via a double approach, 1.

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