Acta Ortopédica Mexicana

Luque-Rebollar E, Sandoval-Sánchez V, Naumann-Flores R, Reyes-Herrera F, Flores-Herrera D, Sánchez-Aldana H, Herrera-Zarco G
Prototype of thoracic anterior fixation system for video-assisted endoscopic procedures for thoracoscopy
Acta Ortop Mex 2000; 14 (1)

Language: Español
References: 18
Page: 62-65
PDF: 202.48 Kb.

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The video assisted thoracic surgery (VATS) has had a great advance for spine diseases, discal hernias, abscesses, tumor diseases and fragment compressions by fracture. All of them having the possibility to be treated endoscopically.
Nowadays, we still have the limitation to he equipped with an adequate instrumentation system, which could be placed by the same via in cases of corpectomies and for curves correction by anterior approach. So it was decided to design this system and to test in porcine models.
One hundred porcine models were used to carry out discectomies and corpectomies in one or two levels where fixation was by thoracoscopic approach. The results showed that this instrumentation system is useful and technically possible to handle by thoracoscopy, giving the opportunity to use it in patients with thoracic spine pathology.

Key words: thorax, surgery, instrumentation, discectomy, endoscopy.


  1. Allen M, Trastek V, Daly R, Deschamps C, Pairolero P. Equipment for thoracoscopy. Ann Thora Surg 1993; 56: 620-3.

  2. Coltharp W, Arnold J, Alfard W, Burros G, Glassford D et al. Video-thoracoscopy: improved technique and expanded indications. Ann Thorac Surg 1992; 53: 776-9.

  3. Dickman C, Mican C. Multilevel anterior thoracic discectomies and anterior interbody fusion using microsurgical thoracoscopic approach. Case report. J Neurosurg 1996; 84: 104-9.

  4. Dufoo O, Barrera F, Garícia L, López P, González B et al. Cirugía endoscópica de la columna vertebral. Rev Mex Orto Traum 1997; 11(3): 136-41.

  5. Horowitz M, Moossy Jr, Julian T, Ferson P, Huneka K. Thoracic discectomy using video assisted thoracoscopy. Spine 1994; 19(9): 1082-6.

  6. Ikard R, McCord D. Thoracoscopic exposure of intervertebral discs. Ann Thorac Surg 1996; 61: 1267-8 .

  7. Kaiser L, Bavaria J. Complications of thoracoscopy. Ann Thorac Surg 1993; 56: 796-8.

  8. Krasna M, Deshmukh S, McLaughlin J. Complications of thoracoscopy. Ann Thorac Surg 1996; 61: 1066-9.

  9. Landreneau R, Mack M, Hazelrigg S, Duwling R, Acuff T et al. Video assisted thoracoscopy surgery: Basic technical concepts and intercostal approach strategies. Ann Thorac Surg 1992; 54: 800-7.

  10. Landreneau R, Mack M, Keenan R, Hazelrigg S, Dowling R et al. Strategic planning for video-assisted thoracic surgery. Ann Thorac Surg 1993; 56: 615-9.

  11. Lewis RJ, Mack MJ, Hazelrigg et al. Imaged thoracoscopic surgery: A new surgical technique for resection of mediastinal cysts. Ann Thorac Surg 1992; 53: 318-20.

  12. Mack M, Regan J, Bobechko W, Acuff T. Applications of thoracoscopy for diseases of the spine. Ann Thorac Surg 1993; 56: 736-8.

  13. Mack M, Regan J, McAfee P, Picetti G, Ben-Yishay et al. Video assisted thoracic surgery for the anterior approach to the thoracic spine. Ann Thorac Surg 1995; 59: 1100-6.

  14. McAfee P, Regan J, Fedder I, Mack M, Geis P. Anterior thoracic corpectomy fot spinal cord descompression performed endoscopically. Surgical Laparoscopy and Endoscopy 1995; 5(5): 339-48.

  15. McAfee P, Regan J, Zdeblick T, Zuckerman J, Picetti G et al. The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery. A prospective multicenter study comprising the first 100 consecutive cases. Spine 1995; 20(14): 1624-32.

  16. Regan JJ. Percutaneous endoscopic thoracic discectomy. Neurosurg Clin N Am Jan 71(1): 87-98.

  17. Rosenthal D, Rosentahl R, DeSimone A. Removal of a protruded thoracic disc using microsurgical endoscopy. A new technique. Spine 1994; 19(9): 1087-91.

  18. Yim AP. Thoracoscopic surgery in the elderly population. Surg Endosc 1996; 10(9): 880-2.