Thoracic Corpectomy and anterior stabilisaton (T7-T9) for aggressive haemangioma-Medtronic Anterior Legacy
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This is a case of a T8 corpectomy and excision of a biopsy proven aggressive haemangioma mandating a postero-lateral thoracotomy and anterior stabilisation from T7 -T9 using the Medtronic Anterior Legacy kit. It clearly illustrates the principles of a mid-thoracic corpectomy utilising such an approach, highlighting tips and tricks which can be employed to ensure adequate and safe surgical exposure as well as potential pitfalls which should be avoided to prevent complications.
Indications for anterior thoracic corpectomy are wide ranging but commonly include pathologies including infection, trauma, tumour and discogenic pathology particularly where these are deemed to be causing compression of the neurological elements resulting in myelopathic +/- radicular symptoms or indeed if there is concern regarding overall spinal stability.
Author:Mr Simon Hughes FRCS
Institution: The Royal Orthopaedic Hospital, Birmingham, UK.
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Question 1 of 9
Which one of the following is the most appropriate indication for total anterior thoracic corpectomy ?CorrectIncorrect
Question 2 of 9
Which one of the following imaging modalities is the most useful for pre-operative pedicle screw / implant positioning ?CorrectIncorrect
Question 3 of 9
The preferred side of entry for a lateral thoracotomy is which one of the following ?CorrectIncorrect
Question 4 of 9
Sonopet is a useful surgical tool in this procedure, which of the following describes its mode of action?CorrectIncorrect
Question 5 of 9
The following are considered classical signs of myelopathy except which one ?CorrectIncorrect
Question 6 of 9
The artery of Adamkiewicz is the largest anterior segmental medullary artery. It typically is found arising from which one of the posterior intercostal arteries?CorrectIncorrect
Question 7 of 9
A chest drain is inserted at the end of this procedure, which one of the following describes a suitable time to remove it post-operatively?CorrectIncorrect
Question 8 of 9
The T8 rib articulates with which one of the following vertebrae ?CorrectIncorrect
Question 9 of 9
Which one of the following is the optimum regimen for VTE prophylaxis for a T8 corpectomy case?CorrectIncorrect