Video-Assisted Mini-Open Approach for Insertion of Anterior Thoracic Instrumentation in AIS

· (a – DePuy AcroMed Corp.)

In addition to open double thoracotomy and video-assisted thoracoscopic techniques, we have developed a third option of mini-thoracotomies assisted by the thoracoscope to safely and effectively instrument the thoracic spine. 22 patients had 176 screws inserted from T5-T12. An average of 5 ribs were resected, and the morselized rib autograft was inserted into the decorticated disc spaces for fusion. Postoperative correction was similar to both open and thoracoscopic techniques. There were no pulmonary, neurologic, or vascular complications. Patient recovery and return to function was similar to that of patients who underwent the open technique. In conclusion, the video-assisted mini-open technique is a safe and effective approach to fusing and instrumenting the thoracic spine when a less invasive approach than that of a full thoracotomy is desired.

· If noted, the author indicates something of value received. The codes are identified as: a-research or institutional support; b-miscellaneous funding; c-royalties; d-stock options.