Posterolateral approach for decompression with anterior and posterior fusion: a less invasive surgical technique for stabilization of the thoracic spine

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Neurosurgery
Creator Couldwell, William T.
Other Author Das, Kaushik; Rawanduzy, Ahmed
Title Posterolateral approach for decompression with anterior and posterior fusion: a less invasive surgical technique for stabilization of the thoracic spine
Date 1998
Description The goals of surgery in unstable thoracic fractures or tumors involving the thoracic spine are neural decompression, correction of deformity, and stabilization. Several different approaches can be used to achieve these goals. The anterior, combined anterior and posterior, and more recently thoracoscopic approaches are well described in the literature and are extremely effective in achieving the goals mentioned. However, they do carry with them significant morbidity and mortality rates in patients who are elderly, who have associated medical problems, or for whom there are contraindications to thoracic surgery. The authors believe the posterolateral approach is a viable alternative that is reasonably well tolerated in this select patient population. One can achieve circumferential neural decompression as well as anterior and posterior arthrodesis through a single incision. Most neurosurgeons are familiar with the anatomical landmarks and technical steps in the posterolateral approach, and the authors believe it is a less invasive method that can be especially useful and should not be overlooked in this subgroup of patients.
Type Text
Publisher American Association of Neurological Surgeons (AANS)
Volume 4
Issue 2
Subject Decompression; Thoracic spine; Posterolateral approach
Subject LCSH Spinal cord -- Wounds and injuries; Spinal cord -- Surgery
Language eng
Bibliographic Citation Das, K., Rawanduzy, A., & Couldwell, W. T. (1998). Posterolateral approach for decompression with anterior and posterior fusion: a less invasive surgical technique for stabilization of the thoracic spine. Neurosurgical Focus, 4(2), e3.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 117,017 bytes
Identifier ir-main,12564
ARK ark:/87278/s6f19gwr
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 703212
Reference URL https://collections.lib.utah.edu/ark:/87278/s6f19gwr
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