Mini-open transpedicular corpectomies with expandable cage reconstruction Technical note

Department of Neurosurgery, University of California, San Francisco, California 94143-0112, USA.
Journal of neurosurgery. Spine (Impact Factor: 2.38). 01/2011; 14(1):71-7. DOI: 10.3171/2010.10.SPINE091009
Source: PubMed


Transpedicular corpectomies are frequently used to perform anterior surgery from a posterior approach. Minimally invasive thoracolumbar corpectomies have been previously described, but these are performed through a unilateral approach. Bilateral access must be obtained for a circumferential decompression when using such techniques. The authors describe a technique that allows for a mini-open transpedicular corpectomy, 360° decompression, and expandable cage reconstruction through a single posterior approach. This is performed using percutaneous pedicle screws, the trap-door rib-head osteotomy, and a single midline fascial exposure. The authors describe this technique with intraoperative photos and a video demonstrating the technique.

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    • "Chou and Lu described minimally invasive transpedicular corpectomy with expandable cage reconstruction [15]. They describe the procedure for 8 patients and compare it to a similar open cohort. "
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