Lateral approach for anterior thoracic spinal lesions

Area of Science:

• Neurosurgery
• Orthopedic Surgery
• Spinal Surgery

Background:

• Anterior and anterolateral thoracic spinal lesions pose surgical challenges due to limited access.
• Traditional approaches may not provide adequate decompression for ventral thoracic pathologies.

Observation:

• A modified lateral surgical approach involving transversectomy, hemilaminectomy, and costectomy was utilized in four patients.
• Patients presented with conditions including thoracic disc herniations, meningioma, and hypertrophic pachymeningitis.

Findings:

• The lateral approach facilitated greater access to the anterior thoracic spinal canal.
• Effective anterior decompression was achieved, leading to good postoperative recovery in most patients.
• One patient required lower extremity rehabilitation post-surgery.

Implications:

• This surgical technique offers a viable option for treating anterior thoracic spinal diseases.
• Early recognition and intervention are crucial for optimal outcomes in thoracic spinal pathologies.
• The approach demonstrates potential for improved patient recovery and functional restoration.