Minimal Invasive Anterior Decompression in Tuberculosis of Thoracolumbar Junction of the Spine – Experience With SynFrame

Authors

  • Navin Kumar Karn Department of Orthopaedics, BP Koirala Institute of Health Sciences, Dharan
  • B S Rao Department of Orthopedics, Paraplegia Hospital, Ahmedabad, Gujarat
  • M M Prabhakar Department of Orthopedics, Paraplegia Hospital, Ahmedabad, Gujarat

DOI:

https://doi.org/10.31729/jnma.200

Abstract

Introduction: This study assesses the role of new retractor system SynFrame for anterior
decompression of tuberculosis of thoracolumbar junction of the spine.
Methods: This study includes fi ve consecutive patients with tuberculosis of thoracolumbar junction
treated with minimal invasive anterior decompression using a new table mounted retractor system
SynFrame (Stratec Medical, Switzerland). The thoracolumbar junction was approached by a left sided
thoracotomy. Short construct pedicle screw stabilization was done in all cases before decompression.
The anterior column was reconstructed using expandable cage (n=3) and autologous tricortical graft
(n=2).
Results: The mean operating time was 100 minutes (range 90-120). Mean overall blood loss was 400
ml. No operation had to change into an open procedure. There were neither intra nor postoperative
complications related to minimal access in particular, nor visceral/vascular complications.
Conclusions: The ring retractor system allows minimal open surgery to the spine by carrying
different devices as well as endoscope, providing an excellent visualization of the operating fi eld,
and is safe and easy to use. The only disadvantage is its high cost.
Key Words: anterior decompression, minimal invasive spine surgery, SynFrame

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Published

2009-07-01

How to Cite

Karn, N. K., Rao, B. S., & Prabhakar, M. M. (2009). Minimal Invasive Anterior Decompression in Tuberculosis of Thoracolumbar Junction of the Spine – Experience With SynFrame. Journal of Nepal Medical Association, 48(175). https://doi.org/10.31729/jnma.200

Issue

Vol. 48 No. 175 (2009)

Section

Short Communication

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