Percutaneous interbody osteosynthesis in the treatment of thoracolumbar traumatic or tumoural lesions. A review of 51 cases

• Published in: Acta neurochirurgica Vol. 102; no. 1-2; pp. 42 - 53
• Main Authors: Lozes, G, Fawaz, A, Mescola, P, Marnay, T, Herlant, M, Devos, P, Cama, A, Sertl, G O, Brambillas Bas, M, Leclercq, X
• Format: Journal Article
• Language: English
• Published: Austria 01-03-1990
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Cervical Vertebrae - diagnostic imaging; Cervical Vertebrae - injuries; Cervical Vertebrae - surgery; Female; Fracture Fixation, Internal - methods; Fractures, Bone - diagnostic imaging; Fractures, Bone - surgery; Humans; Lumbar Vertebrae - diagnostic imaging; Lumbar Vertebrae - injuries; Lumbar Vertebrae - surgery; Male; Middle Aged; Radiography; Spinal Neoplasms - diagnostic imaging; Spinal Neoplasms - surgery
• ISSN: 0001-6268; 0942-0940
• DOI: 10.1007/BF01402185

The authors describe a technique of percutaneous interbody osteosynthesis applicable to the dorsal and lumbar spine. 51 patients were so treated for different aetiologies: traumatic conditions (35 cases) and tumoural lesions (16 cases). The material used consisted of special instruments that are positioned in double obliquity by a percutaneous posterolateral approach. A posterior approach limited to the pathological focus was used jointly whenever a graft or a decompression was necessary (19 cases). Several types of anaesthesia were used (local, local-regional, general, neuroleptanalgesia). The patients benefited by the advantages that usually accompany percutaneous techniques. The advantages and limitations of the method are discussed.