%0 Journal Article
%T Approach-related morbidity in transthoracic anterior spine surgery: a clinical study and review of literature
%A Zenner
%A Juliane
%A Koller
%A Heiko
%A Hempfing
%A Axel
%A Hutter
%A J£¿rg
%A Hitzl
%A Wolfgang
%A Resch
%A Herbert
%A Tauber
%A Mark
%A Meier
%A Oliver
%A Ferraris
%A Luis
%J Coluna/Columna
%D 2010
%I Sociedade Brasileira de Coluna (SBC)
%R 10.1590/S1808-18512010000100014
%X background: anterior access to the thoracic spine is done by open thoracotomy (otc) or video-assisted thoracoscopic surgery (vats). vats is known as the method which results in lower morbidity rates, but there is little evidence of its less invasiveness. objective: the current study yielded for outcome data concerning patients' perception of approach-related morbidity (arm) following otc for spinal surgery and that of a control group having a chest tube thoracotomy (ctt). methods: we performed a questionnaire assessment of arm after otc and ctt. applying strict inclusion criteria, we compared outcomes in terms of percentage morbidity (morbidity %) of 43 patients that underwent otc for instrumented scoliosis correction to 30 patients that had ctt for minor thoracic pathologies (e.g., pneumothorax). results: mean age in ctt and otc group was 50.2 and 16.5 years old, follow-up was of 32.2 and 58.4 months, and mean incision length was 2.5 and 25.5 cm, respectively. mean number of levels fused in the otc group was 5.8. mean morbidity (0% delineating no cases, 100% delineating highest morbidity) for the ctt group was 10.8¡À15.4% (0-59.5%), 42% of patients had no morbidity. signs of intercostal neuralgia (icn) were present in 16.7%. a total of 35.5% had a morbidity >10% (mean: 27.5%), and 10% of morbidity cases were defined as having a chronic post-thoracotomy pain (cpp). in the otc group, mean morbidity was 7.0¡À12.7% (0-52.1%), 44% had no morbidity. out of the sample, 18.6% had morbidity >10% (mean: 28.6%). signs of icn were present in 14%. in both groups, the presence of icn had a significant impact on and showed correlation with morbidity (p<0.0001). in terms of clinical judgement, the severity of the arm after a ctt or otc was generally mild except for one patient in each group. age and follow-up were significantly different between groups (p<0.0001, p=0.02), but the intergroup difference in morbidity was not significant (p=0.08). conclusions: arm after open thoracic sp
%K morbidity
%K spine [surgery]
%K thoracotomy [methods]
%K video-assisted surgery [methods].
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1808-18512010000100014&lng=en&nrm=iso&tlng=en