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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS THORACIC PAPERS
The Journal of Cardiovascular Surgery 1999 December;40(6):897-9
Combined approach to intrathoracic lesions invading the spinal cord
Janni A., Davini F., Lucchi M., Consoli V.*, Angeletti C. A.
From the Service of Thoracic Surgery Department of Surgery *I Orthopedic Clinic, University of Pisa, Pisa, Italy
The treatment of intrathoracic lesions invading the spine has two main issues: the surgical route to be preferred and the incidence of complications following the operation. As a matter of fact surgical treatment, performed in two stages, has a higher risk of cord accidents. Some authors have proposed a combined thoraco-vertebral surgical route which allows the exposition of both the spine and the chest. We experienced the utility of such a surgical approach in the treatment of two endothoracic lesions invading the thoracic spine and requiring the stabilization of the rachis. Satisfactory results were achieved without morbility.