gms | German Medical Science

63rd Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Japanese Neurosurgical Society (JNS)

German Society of Neurosurgery (DGNC)

13 - 16 June 2012, Leipzig

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Intraoperative findings and early postoperative results after surgical treatment of thoracic spine injury: mini-thoracotomy versus endoscopic approaches

Meeting Abstract

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  • M. Geiger - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Bonn
  • M. Banat - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Bonn
  • M. Podlogar - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Bonn
  • I. Peters - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Bonn
  • R.A. Kristof - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Bonn

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 63. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie (JNS). Leipzig, 13.-16.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocSA.09.06

doi: 10.3205/12dgnc367, urn:nbn:de:0183-12dgnc3671

Published: June 4, 2012

© 2012 Geiger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: We analysed the intraoperative results and early postoperative outcome of patients operated on thoracic spine injury, comparing mini-thoracotomies with endoscopic approaches.

Methods: The data of 85 successive patients with thoracic spine injuries treated by endoscopic or open approach in a period of 10 years were collected retrospectively from the charts and compared.

Results: Out of 85 patients (mean age 42 years, female 31%), 63 (74%) were treated by endoscopic, and 22 (26%) by open approach. The most frequent fracture was at Th12 (endoscopic n=22, open n=15). The mean operation time was 150 minutes, (endoscopic 147 min, open 215 min, p<0.068), the mean blood loss was 800 ml (endoscopic 700 ml, open 1000 ml, p<0.242). The mean postoperative in hospital stay was 9 days (endoscopic 9 days, open 10 days, p<0.270). The average duration of post-op opioid analgesics intake was 5 days (endoscopic 5 days, open 8 days, p<0.125). The overall complication rate was 15% (endoscopic 13%, open 23%, p<0.458), while the vast majority of complications were reversible. There was no perioperative mortality.

Conclusions: Taken all together, both approaches (endoscopic and open) are comparable regarding intraoperative results and early clinical outcome in the surgery of thoracic spine injuries. These findings have to be confirmed by prospective studies.