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Ann Thorac Surg 1993;56:736-738
© 1993 The Society of Thoracic Surgeons

Articles

Application of thoracoscopy for diseases of the spine

Michael J. Mack, MD*,a,b,c, John J. Regan, MDa,b,c, Walter P. Bobechko, MDa,b,c, Tea E. Acuff, MDa,b,c

a Medical City Dallas, Dallas, Texas USA
b Texas Back Institute, Plano, Texas USA
c HCA Medical Center of Piano, Plano, Texas USA

* Address reprint requests to Dr Mack, 7777 Forest Lane, Suite A-323, Dallas, TX 75230.

For anterior approaches to the thoracic spine, a posterolateral thoracotomy has been the standard approach. Recent expanded experience with video-assisted thoracic surgical techniques has allowed us to perform many thoracic spine procedures that previously required open approaches. These procedures include drainage of spinal abscesses, biopsy of vertebral bodies, discectomy for a herniated nucleus pulposus, and anterior releases for kyphoscoliosis. All procedures were successful, but experience is limited and follow-up still short. It is hoped that further experience will prove that this less invasive approach can be widely applied in the practice of thoracic spinal surgery.




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