THORACOSCOPIC SURGERY FOR SPINE PATHOLOGY
https://doi.org/10.14531/ss2007.1.29-34
Abstract
Objective. To compare the efficiency of thoracoscopic and conventional posterolateral approaches with costotransversectomy for thoracic discs herniations, and to assess the applicability of thoracoscopic surgery for various pathologies of the thoracic spine.
Material and Methods. Thoracoscopic techniques were applied in 19 patients admitted to the clinic with thoracic disc herniations, thoracic trauma without neurological signs, metastases and primary tumors of thoracic vertebrae, and sympatic ganglia. Control group included patients after costotransversectomy.
Results. The assessment of outcomes after thoracoscopy for thoracic disc herniations using Frankel score revealed almost double improvement of neurological status without negative postoperative dynamics.
Conclusion. Thoracoscopic approach is a method of choice for treatment of thoracic intervertebral disc herniations due to high rate of neurological restoration.
About the Authors
Artyom Olegovich Gushcha
N.N. Burdenko Neurosurgical Institute, Moscow
Russian Federation
Russian Federation
Ivan Nikolayevich Shevelyov
N.N. Burdenko Neurosurgical Institute, Moscow
Russian Federation
Russian Federation
Sergey Olegovich Arestov
N.N. Burdenko Neurosurgical Institute, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Gushcha A.O., Shevelyov I.N., Arestov S.O. THORACOSCOPIC SURGERY FOR SPINE PATHOLOGY. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(1):029-034. (In Russ.) https://doi.org/10.14531/ss2007.1.29-34
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