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360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients

Standard

360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients. / Eicker, Sven O; Cornelius, Jan Frederik; Steiger, Hans-Jakob; Hänggi, Daniel.

in: EUR SPINE J, Jahrgang 21, Nr. 6, 06.2012, S. 1207-13.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Eicker, SO, Cornelius, JF, Steiger, H-J & Hänggi, D 2012, '360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients', EUR SPINE J, Jg. 21, Nr. 6, S. 1207-13. https://doi.org/10.1007/s00586-012-2150-1

APA

Eicker, S. O., Cornelius, J. F., Steiger, H-J., & Hänggi, D. (2012). 360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients. EUR SPINE J, 21(6), 1207-13. https://doi.org/10.1007/s00586-012-2150-1

Vancouver

Eicker SO, Cornelius JF, Steiger H-J, Hänggi D. 360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients. EUR SPINE J. 2012 Jun;21(6):1207-13. https://doi.org/10.1007/s00586-012-2150-1

Bibtex

@article{c9e08e9e052e4dd4b626c6954a8c2e6e,
title = "360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients",
abstract = "PURPOSE: Patients requiring anterior-posterior thoracic spine stabilization and suffering from concomitant cardiopulmonary disease are at increased risk to develop procedure-related complications. In order to reduce cardiopulmonary complications, the efficacy of a posterolateral transpedicular approach for 360-degree fusion was investigated.METHODS: Fourteen consecutive patients presenting with spinal cord compression from osteoporotic, metastatic and tuberculotic fractures were treated. Spinal cord decompression was achieved by laminectomy, facetectomy and corpectomy with subsequent posterior instrumented fusion using a screw-rod system.RESULTS: The procedure was successfully performed in 14 high-risk patients. Preoperatively, all patients presented with thoracic and lower back pain and nine patients with a paraparesis (Frankel grade C). The implants were introduced monoportally or biportally. In all cases, neurological symptoms moderately improved.CONCLUSION: The posterolateral transpedicular approach might be a safe, less-invasive and efficient alternative to anterior-posterior fusion. However, biomechanic efficacy and long-term outcome as compared to the transthoracic technique remains to be studied in a larger patient cohort.",
keywords = "Adult, Aged, Aged, 80 and over, Decompression, Surgical, Female, Fracture Fixation, Internal, Heart Diseases, Humans, Lung Diseases, Male, Middle Aged, Risk Factors, Spinal Cord Compression, Spinal Fractures, Spinal Fusion",
author = "Eicker, {Sven O} and Cornelius, {Jan Frederik} and Hans-Jakob Steiger and Daniel H{\"a}nggi",
year = "2012",
month = jun,
doi = "10.1007/s00586-012-2150-1",
language = "English",
volume = "21",
pages = "1207--13",
journal = "EUR SPINE J",
issn = "0940-6719",
publisher = "Springer",
number = "6",

}

RIS

TY - JOUR

T1 - 360-degree osteosynthesis via a posterolateral transpedicular approach in high-risk patients

AU - Eicker, Sven O

AU - Cornelius, Jan Frederik

AU - Steiger, Hans-Jakob

AU - Hänggi, Daniel

PY - 2012/6

Y1 - 2012/6

N2 - PURPOSE: Patients requiring anterior-posterior thoracic spine stabilization and suffering from concomitant cardiopulmonary disease are at increased risk to develop procedure-related complications. In order to reduce cardiopulmonary complications, the efficacy of a posterolateral transpedicular approach for 360-degree fusion was investigated.METHODS: Fourteen consecutive patients presenting with spinal cord compression from osteoporotic, metastatic and tuberculotic fractures were treated. Spinal cord decompression was achieved by laminectomy, facetectomy and corpectomy with subsequent posterior instrumented fusion using a screw-rod system.RESULTS: The procedure was successfully performed in 14 high-risk patients. Preoperatively, all patients presented with thoracic and lower back pain and nine patients with a paraparesis (Frankel grade C). The implants were introduced monoportally or biportally. In all cases, neurological symptoms moderately improved.CONCLUSION: The posterolateral transpedicular approach might be a safe, less-invasive and efficient alternative to anterior-posterior fusion. However, biomechanic efficacy and long-term outcome as compared to the transthoracic technique remains to be studied in a larger patient cohort.

AB - PURPOSE: Patients requiring anterior-posterior thoracic spine stabilization and suffering from concomitant cardiopulmonary disease are at increased risk to develop procedure-related complications. In order to reduce cardiopulmonary complications, the efficacy of a posterolateral transpedicular approach for 360-degree fusion was investigated.METHODS: Fourteen consecutive patients presenting with spinal cord compression from osteoporotic, metastatic and tuberculotic fractures were treated. Spinal cord decompression was achieved by laminectomy, facetectomy and corpectomy with subsequent posterior instrumented fusion using a screw-rod system.RESULTS: The procedure was successfully performed in 14 high-risk patients. Preoperatively, all patients presented with thoracic and lower back pain and nine patients with a paraparesis (Frankel grade C). The implants were introduced monoportally or biportally. In all cases, neurological symptoms moderately improved.CONCLUSION: The posterolateral transpedicular approach might be a safe, less-invasive and efficient alternative to anterior-posterior fusion. However, biomechanic efficacy and long-term outcome as compared to the transthoracic technique remains to be studied in a larger patient cohort.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Decompression, Surgical

KW - Female

KW - Fracture Fixation, Internal

KW - Heart Diseases

KW - Humans

KW - Lung Diseases

KW - Male

KW - Middle Aged

KW - Risk Factors

KW - Spinal Cord Compression

KW - Spinal Fractures

KW - Spinal Fusion

U2 - 10.1007/s00586-012-2150-1

DO - 10.1007/s00586-012-2150-1

M3 - SCORING: Journal article

C2 - 22234723

VL - 21

SP - 1207

EP - 1213

JO - EUR SPINE J

JF - EUR SPINE J

SN - 0940-6719

IS - 6

ER -