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Minimally Invasive Endoscopic Method to the Cervicothoracic Junction for Vertebral Osteomyelitis.
Case Rep Orthop. 2017;2017:2495041
Authors: Morimoto T, Tsukamoto M, Yoshihara T, Sonohata M, Mawatari M
Summary
The choice of an anterior, lateral, or posterior strategy to the cervicothoracic junction for surgical therapy of vertebral osteomyelitis continues to be a matter of debate. These peculiar approaches typically require an extensile publicity. This text describes a much less invasive strategy case of a vertebral osteomyelitis of T2/three utilizing a video-assisted working strategy of thoracic surgical procedure (VATS). A 78-year-old feminine underwent anterior debridement and interbody fusion with bone graft at T2/three utilizing a lateral surgical strategy by a proper thoracotomy with VATS. The VATS by two small pores and skin incisions within the axillary area supplies an excellent view with out requiring elevation of the scapula with extensile muscle dissection and rib resection. There was no complication with out partial lobectomy because of pleural adhesion throughout the perioperative interval. At present, at 1 12 months after operation, the affected person has no again ache with neurologically regular findings and no irritation findings (CRP was zero.01?mg/dl). Though the working area of the higher thoracic degree within the lateral strategy is usually deep and slim, the VATS supplies an excellent view and permits us to carry out satisfactory debridement and bone fusion on the T2/three degree with a much less invasive strategy than these beforehand described anterior or laterally or posterior strategy.
PMID: 29375921 [PubMed]