Document Detail

Perioperative Characteristics, Complications, and Outcomes of Single-Level Versus Multi-Level Thoracic Corpectomies via Modified Costotransversectomy Approach.
MedLine Citation:
PMID:  22986841     Owner:  NLM     Status:  Publisher    
ABSTRACT: Study Design. Retrospective case series.Objective. To compare perioperative endpoints and outcomes of single-level versus multi-level corpectomy performed using a modified costotransversectomy (mCT) approach.Summary of Background Data. Single-level corpectomy via posterolateral approach has been shown to be an effective alternative to the traditional anterior thoracotomy approach. However, there is a paucity of studies that have examined multi-level thoracic corpectomy via posterolateral approach.Methods. Using the electronic medical record, we identified a consecutive population of adult patients who underwent mCT corpectomy in the thoracic region between 2006 and 2009. Patients were stratified by number of corpectomies performed into either the single-level or multi-level group. With the use of baseline descriptive statistics and multivariate analysis, perioperative parameters and follow-up outcomes were assessed between the 2 groups.Results. A total of 40 patients were included in the final analysis, with 25 patients in the single-level group and 15 patients in the multi-level group. Mean follow-up was 16.1 months. Overall complication rate was 37.5%. Between the 2 groups, there were no significant differences in operative time, blood loss, transfusion rate, quantity of blood transfused, length of hospital stay, or complication rates. Also, there were no significant differences in repeat surgery rate, MRC strength, Nurick score, or pain at most recent follow-up, and all groups gained a comparable magnitude of benefit from surgery.Conclusion. Multi-level corpectomy via mCT approach in the thoracic region is a feasible and effective option that does not appear to be associated with significantly increased morbidity. The degree of clinical improvement also seems comparable to single-level corpectomy.
Darryl Lau; Yeohan Song; Zhe Guan; Stephen Sullivan; Frank La Marca; Paul Park
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-13
Journal Detail:
Title:  Spine     Volume:  -     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1University of Michigan Medical School, Ann Arbor, MI 2Department of Neurosurgery, University of Michigan, Ann Arbor, MI.
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