Journal article
Transthoracic Anterolateral Decompression for Thoracic Spinal Lesions
Neurosurgery, Vol.14(1), pp.26-30
01/01/1984
DOI: 10.1227/00006123-198401000-00007
PMID: 6694790
Abstract
Abstract Since 1978, the authors have treated 11 patients with lesions of the ventral thoracic spine via a transpleural anterolateral approach. Each of the patients presented with pain and paraparesis, 8 had sensory dysfunction, and 6 had demonstrated sphincteric disturbances. All 11 had radiographic confirmation of anterior cord compromise, and each underwent an anterior decompression, with 8 requiring graft stabilization. There were no surgical mortalities, and the postoperative complications were limited. In follow-up, 10 of the 11 patients had complete resolution of their preoperative pain and were able to ambulate independently, Remission of sensory disturbances was noted in 6 patients, and 5 regained sphincteric control. The authors have found that this approach is both safe and effective, with several advantages over conventional laminectomy and posterolateral techniques.
Details
- Title: Subtitle
- Transthoracic Anterolateral Decompression for Thoracic Spinal Lesions
- Creators
- Jeffrey M Lobosky - Division of Neurosurgery, University of Iowa Hospitals and Clinics, Veterans Administration Medical Center, Iowa City, IowaPatrick W Hitchon - Division of Neurosurgery, University of Iowa Hospitals and Clinics, Veterans Administration Medical Center, Iowa City, IowaDennis E McDonnell - Neurosurgery Service, Walter Reed Army Medical Center, Washington, District of Columbia
- Resource Type
- Journal article
- Publication Details
- Neurosurgery, Vol.14(1), pp.26-30
- DOI
- 10.1227/00006123-198401000-00007
- PMID
- 6694790
- ISSN
- 0148-396X
- eISSN
- 1524-4040
- Language
- English
- Date published
- 01/01/1984
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Neurosurgery
- Record Identifier
- 9984040351102771
Metrics
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