What is thoracic approach?
DEFINITION. The anterior approach can be used to access the thoracic spine for decompression, deformity correction, and stabilization. This approach allows for access to treat conditions such as intervertebral disc herniation, infection, tumor, and trauma.
What are the risks of spinal decompression surgery?
Like all surgical procedures, lumbar decompression surgery carries some risk of complications.
- Recurrent or continuing symptoms.
- Infection.
- Blood clots.
- Dural tear.
- Leakage of cerebrospinal fluid.
- Facial sores and loss of vision.
- Nerve injury and paralysis.
- Death.
What is the success rate of minimally invasive spine surgery?
Minimally Invasive Spine Surgery Success Rate An estimated 80 to 90 percent of our patients report less pain and better mobility after surgery. Over time, you will be able to resume some activities you once had to skip out on due to your spinal condition.
What is retroperitoneal surgical approach?
The retroperitoneum is the compartmentalized space bounded anteriorly by the posterior parietal peritoneum and posteriorly by the transversalis fascia. Lateral approach surgery requires mobilization of the peritoneum and its content and accurate exposure to the posterior pararenal space.
Why is a thoracotomy approach more popular for thoracic vertebral surgery?
The transthoracic approach (thoracotomy) affords the spine surgeon excellent visualization and access to the anterior thoracic spine, the vertebral bodies, intervertebral disks, spinal canal, and nerve roots. Only the contralateral pedicle and posterior elements are inaccessible through this approach.
What is a closed thoracotomy?
A thoracotomy is a surgical procedure in which a cut is made between the ribs to see and reach the lungs or other organs in the chest or thorax. Typically, a thoracotomy is performed on the right or left side of the chest. An incision on the front of the chest through the breast bone can also be used, but is rare.
How long is the recovery from spinal decompression surgery?
It will take about 4 to 6 weeks for you to reach your expected level of mobility and function (this will depend on the severity of your condition and symptoms before the operation). When you wake up after lumbar decompression surgery, your back may feel sore and you’ll probably be attached to 1 or more tubes.
Who is a candidate for minimally invasive spine surgery?
Patients with a herniated disc, spinal stenosis, and spondylolisthesis may be treated using a minimally-invasive approach when nonsurgical treatments fail to relieve symptoms for a period of three months or more.
Is minimally invasive spine surgery better?
Compared with open surgery, minimally invasive spine surgery results in less pain, less damage to muscles, shorter hospital stay, and a faster recovery and return to work and daily activities.
What is Transperitoneal approach?
Anatomically, the transperitoneal approach is the most direct access to the interspace between the common iliac vessels. Similar to the retroperitoneal approach, the transperitoneal approach begins with a Pfannenstiel incision 5 cm above the pubis and vertical dissection through the linea alba.
What is thoracoabdominal aortic intervention?
Thoracoabdominal aortic intervention may be the most complex operation for cardiothoracic surgeons to perform and for patients to tolerate. The most feared complication of extensive thoracoabdominal procedures is spinal cord injury.
What is the thoracoabdominal incision for thoracostomy?
The thoracoabdominal incision provides excellent exposure of the thoracic, abdominal, and retroperitoneal compartments and can be safely performed in the vast majority of cases.
What is the goal of aortic surgery for spinal cord injury?
Further reduction in spinal cord injury, or optimally the elimination of paraplegia altogether, remains the ultimate goal for aortic surgeons performing complex aortic intervention. Spinal Cord Injury: Pathophysiology Spinal cord injury resulting in paraplegia has been described since the introduction of thoracoabdominal surgery.
What is the prognosis of spinal cord ischemia after thoracic outlet syndrome (TAAA)?
Spinal cord ischemia after TAAA is decreasing with the development of adjuncts to maintain spinal cord perfusion pressure. However, cord ischemia requires meticulous attention to minimize its effects. See Commentaries on pages 16 and 18.