Idiopathic Scoliosis: Surgical (OR) Setup and Equipment

Surgical Technique for Anterior Thoracoscopic Correction of Idiopathic Scoliosis: Chapter 2

Peer Reviewed

OR Set-Up and Equipment
Two endoscopic monitors are utilized, one facing the patient as the spine surgeon positions himself or herself posterior to the patient. A second placed posterior to the patient and spine surgeon to allow visualization for the thoracic or assisting surgeon. (Fig. 3)

thoracoscopic correction scoliosis or set-up and equipment figure 3 picetti
Figure 3

The spine surgeon’s position at the patient’s back allows all of the instruments to be directed away from the spinal cord. Standing behind the patient will also assist the surgeon in his or her orientation to the external landmarks of the ribs and spine as seen through the scope without a mirror image on the screen. Depending on the video system the assistants monitor may need to be flipped to give the correct image orientation. The fluoroscopy monitor is placed at the foot of the bed.

In addition to the standard CD HORIZON ECLIPSE instruments and implants, several basic endoscopic instruments are necessary. The instruments include a 30 degree 10mm scope with a three-chip camera, a selection of long curettes, pituitarys, kerrison rongeurs and some standard endoscopic instruments (kitners, bovie and hemostatic agents). For lung retraction the Expose Fan is preferred. (Made by Advanced Surgical)

Updated on: 03/14/16
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Idiopathic Scoliosis: Discectomy
Edward C. Benzel, MD
Dr. Picetti has presented a comprehensive treatise on the surgical technique for anterior thoracoscopic correction of idiopathic scoliosis. For the consumer and patient who desire to be informed, this is a worthwhile and valuable document to carefully scrutinize. The reader is cautioned to not extrapolate the information provided by Dr. Picetti to all clinical situations. In particular, many surgeons may utilize modifications of the strategies outlined by Dr. Picetti or may in fact use significantly different approaches. All may be appropriate. Dr. Picetti’s meticulous and well-prepared monograph should be used as a guideline. It is emphasized, however, that it is not the only way of ‘skinning the cat.’

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