Incomplete cranial burst fracture of-LI treated by mini-open thoracoscoplcally-assisted anterior vertebral column reconstruction

摘要

Incomplete cranial burst fractures are often associated with destruction of the neighbouring intervertebral disc. In these cases additional anterior vertebral column reconstruction might be beneficial to avoid posterior implant failure and secondary loss of correction with kyphotic deformity.Thoracotomy is the standard approach to reconstruct the anterior vertebral column in the thoracolumbar junction; however, classic thoracotomy has potential disadvantages like the development of a chronic postthoracotomy pain syndrome, long hospital stay, long rehabilitation and postoperative pulmonary or scapular dysfunction. Therefore, less invasive approaches like mini-open thoracotomy, mini-open thoracoscopically-assisted thoracotomy or fully (video-assisted) thoracoscopic approaches have gained increasing popularity.