Systematic Approach for Anterior Corpectomy through a Transthoracic Exposure

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Spinal Surgery

Background:

• Transthoracic corpectomy for thoracolumbar spine pathologies presents a steep learning curve and high operative morbidity, leading to increased reliance on posterior approaches.
• Posterior approaches, while common, may offer less optimal access for complete spinal cord decompression and anterior column reconstruction compared to transthoracic methods.

Observation:

• This study details a distinct nine-step transthoracic corpectomy technique for the thoracolumbar spine.
• The technique emphasizes maximal bi-pedicular decompression via a lateral approach, supported by a case illustration with one-year follow-up.

Findings:

• The described nine-step transthoracic corpectomy technique provides improved access for thorough decompression of the spinal cord.
• It facilitates complete removal of vertebral body lesions and enhances anterior column reconstruction.
• The approach ensures adequate neurological decompression and vertebral body tumor removal.

Implications:

• This standardized transthoracic corpectomy technique offers a potentially safer and more effective alternative for managing complex thoracolumbar spine conditions.
• It may encourage wider clinical adoption of transthoracic approaches for improved patient outcomes.
• Understanding the key anatomical considerations and perioperative techniques is crucial for successful implementation.