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Anterior Thoracic Surgical Approaches in the Treatment of Spinal Infections and Neoplasms

Wednesday, May 7, 2014

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Source Name: Annals of Thoracic Surgery


Matthew J. Schuchert, Kristen N. McCormick, Ghulam Abbas, Arjun Pennathur, Joshua P. Landreneau, James R. Landreneau, Andre Pitanga, Jamilly Gomes, Felipè Franca, Matthew El-Kadi, Andrew B. Peitzman, Peter F. Ferson, James D. Luketich, Rodney J. Landreneau

The University of Pittsburgh experience with anterior approaches to spinal problems is summarized.  Approaches included cervical/sternotomy in 8 pts, thoracotomy in 79, and thoracoabominal in 43 for infection (50), primary neoplasms (22), and metastases (58).  30 and 90 day mortality were 9% and 21%, and the major complication rate was 28%.  The procedures appeared to be effective in relieving symptoms.

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