T7-T11 Posterior Decompression and Instrumented Fusion, T9

World Neurosurg · Feb 2022

Case Reports

T7-T11 Posterior Decompression and Instrumented Fusion, T9 Partial Corpectomy, and Intradural Microsurgical Discectomy: An Operative Video.

We describe the case of a 57-year-old female with renal cell cancer and metastatic disease to the spine. The patient presented to our institution with progressive lower extremity weakness and a T9 pathologic fracture with bony and tumor retropulsion into the canal. ⋯ In this operative video, we demonstrate the intradural diskectomy following a T7-T11 posterior instrumented fusion, decompression, and transpedicular tumor resection (Video 1). The dorsal and ventral dural closure was reinforced with compressed gelfoam and dural sealant.

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- Joseph S Hudson, Prateek Agarwal, Xiaoran Zhang, and Pascal O Zinn.
- Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
- World Neurosurg. 2022 Feb 1; 158: 113.
AbstractWe describe the case of a 57-year-old female with renal cell cancer and metastatic disease to the spine. The patient presented to our institution with progressive lower extremity weakness and a T9 pathologic fracture with bony and tumor retropulsion into the canal. In addition, there was spinal cord compression from a chronic-appearing T8-9 herniated disk fragment. The patient was consented for surgery. In this operative video, we demonstrate the intradural diskectomy following a T7-T11 posterior instrumented fusion, decompression, and transpedicular tumor resection (Video 1). The dorsal and ventral dural closure was reinforced with compressed gelfoam and dural sealant.Copyright © 2021 Elsevier Inc. All rights reserved.

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T7-T11 Posterior Decompression and Instrumented Fusion, T9 Partial Corpectomy, and Intradural Microsurgical Discectomy: An Operative Video.

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