Seminars in Spine Surgery
Volume 22, Issue 2 , Pages 84-91 , June 2010

Extracavitary Approach to the Thoracolumbar Spine

  • Francis H. Shen, MD

      Affiliations

    • Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA
    • Corresponding Author InformationAddress reprint requests to Francis H. Shen, MD, Department of Orthopaedic Surgery, University of Virginia, PO Box 800159, Charlottesville, VA 22908-0159
    • ,
  • Justin Haller, BS

      Affiliations

    • University of Virginia School of Medicine, Charlottesville, VA

References 

  1. Tay BK, Eismont F. Cervical spine fractures and dislocations. In:  Fardon DF,  Garfin SR,  Abitbol JJ, et al. editor. Orthopaedic Knowledge Update: Spine 2. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2002;p. 247–262
  2. National SCI Statistical Center (US): Spinal cord injury facts and figures at a glance 2008. Birmingham, AL, National SCI Statistical Center, 2008. http://www.spinalcord.uab.edu/show.asp?durki=116979Accessed November 17, 2009
  3. Shen FH, Samartzis D. Successful non-operative treatment of a three-column thoracic fracture in a patient with ankylosing spondylitis: existence and clinical significance of the fourth-column of the spine. Spine. 2007;32:E423–E427
  4. Denis F. The three-column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 1983;8:817–831
  5. Ferguson RL, Allen BL. A mechanistic classification of thoracolumbar spine fractures. Clin Orthop Relat Res. 1984;189:77–88
  6. Magerl F, Aebi M, Gertzbein SD, et al. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J. 1994;3:184–201
  7. Blauth M, Bastian L, Knop C, et al. Inter-observer reliability in the classification of thoraco-lumbar spinal injuries. Orthopade. 1999;28:662–681
  8. Oner FC, Ramos LM, Simmermacher RK, et al. Classification of thoracic and lumbar spine fractures: problems of reproducibility (A study of 53 patients using CT and MRI). Eur Spine J. 2002;11:235–245
  9. Wood KB, Khanna G, Vaccaro AR, et al. Assessment of two thoracolumbar fracture classification systems as used by multiple surgeons. J Bone Joint Surg Am. 2005;87:1423–1429
  10. Vaccaro AR, Lehman RA, Hulbert RJ, et al. A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine. 2005;30:2325–2333
  11. Patel AA, Dailey A, Brodke DS, et al. Thoracolumbar spine trauma classification: the thoracolumbar injury classification and severity score system and case examples. J Neurosurg Spine. 2009;10:201–206
  12. Patel AA, Vaccaro AR, Albert TJ, et al. The adoption of a new classification system: time-dependent variation in interobserver reliability of the thoracolumbar injury severity score classification system. Spine. 2007;32:E105–E110
  13. Raja Y, Fisher C, Wilsey J, et al. Agreement between orthopedic surgeons and neurosurgeons regarding a new algorithm for the treatment of thoracolumbar injuries: a multicenter reliability study. J Spinal Disord Tech. 2006;19:477–482
  14. Whang PG, Vaccaro AR, Poelstra KA, et al. The influence of fracture mechanism and morphology on the reliability and validity of two novel thoracolumbar injury classification systems. Spine. 2007;32:791–795
  15. Capener N. The evolution of lateral rachitomy. J Bone Joint Surg Br. 1954;36:173–179
  16. Larson SJ, Holst RA, Hemmy DC, et al. Lateral extracavitary approach to traumatic lesions of the thoracic and lumbar spine. J Neurosurg. 1976;45:628–637
  17. Benzel EC. The lateral extracavitary approach to the spine using the three-quarter prone position. J Neurosurg. 1989;71:837–841
  18. Ahlmann E, Patzakis M, Roidis N, et al. Comparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes. J Bone Joint Surg Am. 2002;84-A:716–720
  19. Singh K, Samartzis D, Strom J, et al. A prospective, randomized, double-blind study evaluating the efficacy of postoperative continuous local anesthetic infusion at the iliac crest bone graft site after spinal arthrodesis. Spine. 2005;30:2477–2483
  20. Samartzis D, Shen FH. What's your call? (Postoperative iliac-crest avulsion fracture). CMAJ. 2006;175:475–476
  21. Silber JS, Anderson DG, Daffner SD, et al. Donor site morbidity after anterior iliac crest bone harvest for single-level anterior cervical discectomy and fusion. Spine. 2003;28:134–139
  22. Zeng Q, Li X, Choi L, et al. Stimulation of osteogenesis and angiogenesis in fat-derived stromal cells in vitro using recombinant growth and differentiation factor-5 (GDF-5). Bone. 2007;40:374–381
  23. Zeng Q, Li X, Choi L, et al. Recombinant growth/differentiation factor-5 (GDF-5) stimulates osteogenic differentiation of fat-derived stromal cells in vitro. Connect Tissue Res. 2006;47:264–270
  24. Shen FH, Zeng Q, Lv Q, et al. Osteogenic differentiation of adipose-derived stromal cells treated with GDF-5 cultured on a novel three-dimensional sintered microsphere matrix (2006 best paper award). Spine J. 2006;6:615–623
  25. Hunt T, Shen FH, Arlet V. Technical note: expandable cage placement using a posterolateral approach in lumbar spine reconstructions. J Neurosurg Spine. 2006;5:71–74
  26. Shen FH, Marks I, Shaffrey C, et al. The use of an expandable cage for corpectomy reconstruction of vertebral body tumors through a posterior extracavitary approach: a multicenter consecutive case series of prospectively followed patients. Spine J. 2008;8:329–339
  27. Dharmavaram S, Jellish WS, Nockels RP, et al. Effect of prone positioning systems on hemodynamic and cardiac function during lumbar spine surgery: an echocardiographic study. Spine. 2006;31:1388–1393
  28. Schmidt MH, Larson SJ, Maiman DJ. The lateral extracavitary approach to the thoracic and lumbar spine. Neurosurg Clin N Am. 2004;15:437–441
  29. Miller MD, Chhabra AB, Hurwitz HR, et al. Posterior extracavitary/costotransversectomy/posterolateral approach to the thoracic spine, in Orthopaedic Surgical Approaches. In: Philadelphia, PA: Saunders/Elsevier; 2008;p. 296–303
  30. Shufflebarger HL, Grimm JO, Bui V, et al. Anterior and posterior spinal fusion-staged versus same-day surgery. Spine. 1991;16:930–933
  31. Resnick DK, Benzel EC. Lateral extracavitary approach for thoracic and thoracolumbar spine trauma: operative complications. Neurosurgery. 1998;43:796–802
  32. Díaz P, Maíllo A, Hernández J, et al. Subarachnoid-pleural fistula as a complication of the lateral-extracavitary approach to thoracic intraspinal neurinoma. Spine. 1995;20:1515–1518
  33. Maiman DJ, Larson SJ, Luck E, et al. Lateral extracavitary approach to the spine for thoracic disc herniation: report of 23 cases. Neurosurgery. 1984;14:178–182
  34. Maiman DJ, Larson SJ, Benzel EC. Neurological improvement associated with late decompression of the thoracolumbar spine. Neurosurgery. 1984;14:302–306
  35. Danisa OA, Shaffrey CI, Jane JA, et al. Surgical approaches for the correction of unstable thoracolumbar burst fractures: a retrospective analysis of treatment outcomes. J Neurosurg. 1995;83:977–983
  36. Carl AL, Tranmer BI, Sachs BL. Anterolateral dynamized instrumentation and fusion for unstable thoracolumbar and lumbar burst fractures. Spine. 1997;22:686–690
  37. Dimar JR, Wilde PH, Glassman SD, et al. Thoracolumbar burst fractures treated with combined anterior and posterior surgery. Am J Orthop. 1996;25:159–165
  38. Esses SI, Sachs BL, Dreyzin V. Complications associated with the technique of pedicle screw fixation: a selected survey of ABS members. Spine. 1993;18:2231–2238
  39. Hu SS, Capen DA, Rimoldi RL, et al. The effect of surgical decompression on neurologic outcome after lumbar fractures. Clin Orthop. 1991;288:166–173
  40. Kirkpatrick JS, Wilber RG, Likavec M, et al. Anterior stabilization of thoracolumbar burst fractures using the Kaneda device: a preliminary report. Orthopedics. 1995;18:673–678
  41. McDonnell MF, Glassman SD, Dimar JR, et al. Perioperative complications of anterior approaches on the spine. J Bone Joint Surg Am. 1996;78:839–847
  42. Place HM, Donaldson DH, Brown CW, et al. Stabilization of thoracic spine fractures resulting in complete paraplegia. Spine. 1994;19:1726–1730
  43. Wood K, Buttermann G, Mehbod A, et al. Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit (A prospective, randomized study). J Bone Joint Surg Am. 2003;85-A:773–781

 F.H. Shen is a member of a design team for Globus Medical developing an expandable cage to be placed from an extracavitary approach. The other author has no other competing interests or financial interest to disclose.

PII: S1040-7383(09)00104-X

doi: 10.1053/j.semss.2009.12.007

Seminars in Spine Surgery
Volume 22, Issue 2 , Pages 84-91 , June 2010

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