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제 11흉추-제 12흉추간 비디오 흉강경과 직접 측면 추체간 유합술 기구를 이용한 미세 침습 전방 추체간 유합술 - 증례 보고 -

Title
제 11흉추-제 12흉추간 비디오 흉강경과 직접 측면 추체간 유합술 기구를 이용한 미세 침습 전방 추체간 유합술 - 증례 보고 -
Other Titles
Video-assisted thoracoscopic minimally invasive anterior interbody fusion of the T11-T12 level using direct lateral interbody fusion devices - A case report -
Author
강창남
Keywords
비디오 흉강경하 척추 수술; 직접 측면 추체간 유합술; 최소 침습적 술기; 흉요추 이행부; Video-assisted thoracoscopic surgery; Direct lateral interbody fusion; Minimally invasive surgery; Thoracolumbar junction
Issue Date
2016-09
Publisher
대한척추외과학회
Citation
대한척추외과학회지, v. 23, NO. 3, Page. 177-182
Abstract
Study Design: Case report Objectives: To report a case of video-assisted thoracoscopic (VAT) minimally invasive anterior interbody fusion of the T11-T12 level using direct lateral interbody fusion (DLIF) devices. Summary of Literature Review: Interbody fusion of the thoracolumbar junction (especially T11-T12) is technically challenging from anterior, lateral, or posterior approaches. A VAT anterior interbody fusion approach using DLIF devices is a safe, minimally invasive alternative approach to the thoracolumbar spine. Materials and Methods: A 37-year-old male pedestrian was struck by a car sustaining fracture-dislocation at the T11-T12 level. The accident resulted in complete paraplegia of both lower extremities and multiple lower extremity fractures. A classical instrumented posterolateral fusion from T8 to L3 and staged VAT anterior interbody fusion at the T11-T12 level were performed. Results: At one year postoperatively, he was capable of independent ambulation using a wheelchair without back pain, and plain radiographs and CT scans showed a solid fusion at the T11-T12 level. Conclusions: VAT anterior interbody fusion using DLIF devices provides excellent access to the anterior spinal column with the added benefits of an improved field of view and can be a safe and effective alternative to open thoracotomy in the management of various thoracolumbar junction problems.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4184/jkss.2016.23.3.177https://repository.hanyang.ac.kr/handle/20.500.11754/80533
ISSN
2093-4378; 2093-4386
DOI
10.4184/jkss.2016.23.3.177
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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