| Rib-head osteotomies for posterior placement of expandable cages in the treatment of metastatic thoracic spine tumors. | |
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MedLine Citation:
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PMID: 18614369 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Metastatic spine tumors commonly affect the thoracic spine, and effective tumor control often requires corpectomy with reconstruction. In some instances, anterior approaches for corpectomy may be difficult or less than ideal because of medical co-morbidities, pulmonary disease or difficult access behind the mediastinum. Thus, posterior approaches are commonly used for corpectomies with anterior column reconstruction in the thoracic spine. Expandable cages have the advantage of restoring height, correcting kyphosis, and providing secure wedging between the vertebral bodies. However, the spinal cord and thorax may prevent direct, easy access for placement of expandable cages. Reconstruction has been performed with different materials; however, expandable cages have hitherto been less frequently used because of their size and difficulty expanding the cages posteriorly. We describe a technical note that may facilitate the placement of an expandable cage in the thoracic spine after posterior transpedicular corpectomies. |
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Authors:
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Dean Chou; Daniel Lu; John Chi; Vincent Wang |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-07-09 |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 15 ISSN: 0967-5868 ISO Abbreviation: J Clin Neurosci Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-11 Completed Date: 2008-10-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 1043-7 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, University of California San Francisco, San Francisco, California 94143-0112, USA. choud@neurosurg.ucsf.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Breast Neoplasms / pathology Carcinoma / secondary Female Humans Internal Fixators / standards Medical Illustration Middle Aged Neurosurgical Procedures / instrumentation, methods Osteotomy / methods* Prostheses and Implants / standards Reconstructive Surgical Procedures / instrumentation, methods* Rectal Neoplasms / pathology Ribs / anatomy & histology, radiography, surgery* Spinal Fusion / instrumentation, methods* Spinal Neoplasms / radiography, secondary, surgery* Thoracic Vertebrae / pathology, radiography, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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