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Related Experiment Video

Updated: Jun 5, 2026

Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table
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Mini-open transpedicular corpectomies with expandable cage reconstruction. Technical note.

Dean Chou1, Daniel C Lu

  • 1Department of Neurosurgery, University of California, San Francisco, California 94143-0112, USA. choud@neurosurg.ucsf.edu

Journal of Neurosurgery. Spine
|December 21, 2010
PubMed
Summary

This study introduces a novel mini-open technique for thoracolumbar corpectomy, enabling 360° decompression and reconstruction via a single posterior approach. This approach simplifies complex spinal surgeries by avoiding separate anterior or bilateral exposures.

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Area of Science:

  • Spine Surgery
  • Minimally Invasive Techniques
  • Orthopedic Surgery

Background:

  • Transpedicular corpectomies are common for anterior spinal procedures via posterior access.
  • Existing minimally invasive techniques often require unilateral approaches, necessitating bilateral access for circumferential decompression.
  • A need exists for a less invasive method allowing complete decompression from a single posterior exposure.

Purpose of the Study:

  • To describe a novel mini-open transpedicular corpectomy technique.
  • To demonstrate a 360° decompression and expandable cage reconstruction through a single posterior approach.
  • To present a method that avoids the need for separate anterior or bilateral exposures.

Main Methods:

  • A mini-open transpedicular corpectomy technique is detailed.

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Last Updated: Jun 5, 2026

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  • The procedure utilizes percutaneous pedicle screws for fixation.
  • A trap-door rib-head osteotomy and a single midline fascial exposure facilitate access.
  • Expandable cage reconstruction is performed for structural support.

    • Main Results:

    • The described technique allows for a mini-open approach to the thoracolumbar spine.
    • It facilitates a circumferential (360°) decompression.
    • Expandable cage reconstruction is achieved through this single posterior approach.
    • Intraoperative photos and a video demonstrate the surgical steps.

    Conclusions:

    • This mini-open technique offers a viable alternative for achieving 360° decompression and reconstruction.
    • It simplifies complex thoracolumbar corpectomies by utilizing a single posterior approach.
    • The method potentially reduces surgical morbidity associated with traditional approaches.