{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:52:02Z","timestamp":1760863922771},"reference-count":38,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>Vertebral resection with spine shortening has been primarily reported for the treatment of demanding cases of nontraumatic disorders. Recently, this technique has been applied to the treatment of traumatic disorders. The current treatment of vertebral fracture-dislocation when there is partial or total telescoping of the involved vertebrae is a combined anterior-posterior approach with corpectomy, anterior support implant, and further posterior instrumentation. These procedures usually require 2 surgical teams, involve longer operating times and greater risk of surgical complications related to the anterior approach, and commonly entail longer postoperative care before discharge. The authors report on 2 patients with high thoracic fracture-dislocations with telescoping (T-2 and T-4) who were treated in the subacute phase with total spondylectomy (T-3 and T-5, respectively) and spine shortening by using only a posterior approach. Complete recovery of the sagittal balance was achieved with this technique and the postoperative periods were clinically uneventful. One patient presented with asymptomatic hemothorax that did not require drainage. In paraplegic patients with anterior thoracic dislocation fractures in which one vertebral body blocks the reduction of the other, total spondylectomy and spine shortening seem to be a reasonably safe and effective technique.<\/jats:p>","DOI":"10.3171\/2012.10.spine12582","type":"journal-article","created":{"date-parts":[[2012,11,23]],"date-time":"2012-11-23T15:08:56Z","timestamp":1353683336000},"page":"194-200","source":"Crossref","is-referenced-by-count":10,"title":["Treatment of subacute thoracic spine fracture-dislocation by total vertebrectomy and spine shortening"],"prefix":"10.3171","volume":"18","author":[{"given":"Alecio C. E. S.","family":"Barcelos","sequence":"first","affiliation":[{"name":"Hospital de Emerg\u00eancia e Trauma Senador Humberto Lucena, Jo\u00e3o Pessoa, Para\u00edba; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo V.","family":"Botelho","sequence":"additional","affiliation":[{"name":"Hospital do Servidor P\u00fablico Estadual de S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine12582","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1097\/00024720-200404000-00015","article-title":"T12-L1 telescoped chronic dislocation treated by en bloc one-piece spondylectomy and spine shortening","volume":"17","author":"Barber\u00e1","year":"2004"},{"key":"b2-spine12582","series-title":"J Spinal Disord","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1097\/00002517-199106000-00010","article-title":"Vertebral column resection and arthrodesis for complex spinal deformities","volume":"4","author":"Boachie-Adjei","year":"1991"},{"key":"b3-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1590","DOI":"10.1097\/00007632-199707150-00013","article-title":"Vertebral column resection for the treatment of rigid coronal decompensation","volume":"22","author":"Bradford","year":"1997"},{"issue":"19 Suppl","key":"b4-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"S171","DOI":"10.1097\/01.brs.0000231963.72810.38","article-title":"Decision making regarding Smith-Petersen vs. pedicle subtraction osteotomy vs vertebral column resection for spinal deformity","volume":"31","author":"Bridwell","year":"2006"},{"key":"b5-spine12582","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"466","DOI":"10.3171\/SPI.2008.9.11.466","article-title":"Anterior approach to thoracic and lumbar spine lesions: results in 145 consecutive cases. Clinical article","volume":"9","author":"D'Aliberti","year":"2008"},{"key":"b6-spine12582","series-title":"J Bone Joint Surg Br","first-page":"328","article-title":"Spinal osteotomy for severe kyphosis in children with myelomeningocele","volume":"54","author":"Eckstein","year":"1972"},{"key":"b7-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1592","DOI":"10.1097\/00007632-199507150-00007","article-title":"The surgical and medical perioperative complications of anterior spinal fusion surgery in the thoracic and lumbar spine in adults. A review of 1223 procedures","volume":"20","author":"Faciszewski","year":"1995"},{"key":"b8-spine12582","series-title":"J Neurotrauma","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1089\/neu.2011.1955","article-title":"A series of systematic reviews on the treatment of acute spinal cord injury: a foundation for best medical practice","volume":"28","author":"Fehlings","year":"2011"},{"issue":"6 Suppl","key":"b9-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"S66","DOI":"10.1097\/01.brs.0000155577.19606.df","article-title":"L5 vertebrectomy for the surgical treatment of spondyloptosis: thirty cases in 25 years","volume":"30","author":"Gaines","year":"2005"},{"key":"b10-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"680","DOI":"10.1097\/00007632-198509000-00015","article-title":"Treatment of spondyloptosis by two stage L5 vertebrectomy and reduction of L4 onto S1","volume":"10","author":"Gaines","year":"1985"},{"key":"b11-spine12582","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1534","DOI":"10.2106\/00004623-197052080-00002","article-title":"Fractures, dislocations, and fracture-dislocations of the spine","volume":"52","author":"Holdsworth","year":"1970"},{"key":"b12-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1097\/00007632-200102150-00016","article-title":"Closing-opening wedge osteotomy to correct angular kyphotic deformity by a single posterior approach","volume":"26","author":"Kawahara","year":"2001"},{"key":"b13-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2060","DOI":"10.1097\/00007632-199409150-00009","article-title":"Posterior transvertebral osteotomy for adult thoracolumbar kyphosis","volume":"19","author":"Lehmer","year":"1994"},{"key":"b14-spine12582","series-title":"J Spinal Disord Tech","article-title":"Lateral extracavitary, costotransversectomy, and transthoracic thoracotomy approaches to the thoracic spine: review of techniques and complications","author":"Lubelski","year":"2011"},{"key":"b15-spine12582","series-title":"BMJ","first-page":"865","article-title":"Scoliosis","volume":"2","author":"MacLennan","year":"1922"},{"key":"b16-spine12582","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1007\/BF02221591","article-title":"A comprehensive classification of thoracic and lumbar injuries","volume":"3","author":"Magerl","year":"1994"},{"key":"b17-spine12582","series-title":"Clin Orthop Relat Res","first-page":"62","article-title":"Total posterior vertebrectomy of the thoracic or lumbar spine","volume":"232","author":"Magerl","year":"1988"},{"key":"b18-spine12582","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1097\/00006123-199810000-00041","article-title":"Lateral extracavitary approach for thoracic and thoracolumbar spine trauma: operative complications","volume":"43","author":"McCormick","year":"1998"},{"key":"b19-spine12582","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"839","DOI":"10.2106\/00004623-199606000-00006","article-title":"Perioperative complications of anterior procedures on the spine","volume":"78","author":"McDonnell","year":"1996"},{"key":"b20-spine12582","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1781","DOI":"10.2106\/JBJS.I.01794","article-title":"The effects of spinal cord injury induced by shortening on motor evoked potentials and spinal cord blood flow: an experimental study in Swine","volume":"93","author":"Modi","year":"2011"},{"key":"b21-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1097\/00007632-200208150-00022","article-title":"A kyphectomy technique with reduced perioperative morbidity for myelomeningocele kyphosis","volume":"27","author":"Nolden","year":"2002"},{"key":"b22-spine12582","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1097\/BSD.0b013e3181f9a447","article-title":"Total vertebrectomy and spine shortening in the management of acute thoracic spine fracture dislocation: technical note and report of 3 cases","volume":"24","author":"Obeid","year":"2011"},{"key":"b23-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E123","DOI":"10.1097\/01.brs.0000199900.56446.ee","article-title":"Pott disease in the thoracolumbar spine with marked kyphosis and progressive paraplegia necessitating posterior vertebral column resection and anterior reconstruction with a cage","volume":"31","author":"Pappou","year":"2006"},{"key":"b24-spine12582","series-title":"Oper Tech Orthop","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1053\/j.oto.2007.03.002","article-title":"Thoracolumbar spine trauma","volume":"17","author":"Patel","year":"2007"},{"key":"b25-spine12582","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1097\/00006123-199810000-00041","article-title":"Lateral extracavitary approach for thoracic and thoracolumbar spine trauma: operative complications","volume":"43","author":"Resnick","year":"1998"},{"issue":"3 Suppl","key":"b26-spine12582","series-title":"J Neurosurg","first-page":"333","article-title":"Traumatic thoracic spinal fracture dislocation with minimal or no cord injury. Report of four cases and review of the literature","volume":"96","author":"Shapiro","year":"2002"},{"key":"b27-spine12582","series-title":"J Bone Joint Surg Br","first-page":"466","article-title":"Spinal osteotomy for congenital kyphosis in myelomeningocele","volume":"50","author":"Sharrard","year":"1968"},{"key":"b28-spine12582","series-title":"J Bone Joint Surg Br","first-page":"50","article-title":"Osteotomy-excision of the spine for lumbar kyphosis in older children with myelomeningocele","volume":"54","author":"Sharrard","year":"1972"},{"key":"b29-spine12582","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1016\/S0140-6736(05)64518-7","article-title":"Total spondylectomy and spinal shortening for giant-cell tumour of spine","volume":"348","author":"Shimizu","year":"1996"},{"key":"b30-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E703","DOI":"10.1097\/01.brs.0000188190.90034.be","article-title":"Posterior vertebral column resection in fixed lumbosacral deformity","volume":"30","author":"Suk","year":"2005"},{"key":"b31-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2374","DOI":"10.1097\/00007632-200211010-00012","article-title":"Posterior vertebral column resection for severe spinal deformities","volume":"27","author":"Suk","year":"2002"},{"key":"b32-spine12582","series-title":"J Bone Joint Surg Br","first-page":"100","article-title":"Role of posterior stabilisation in the management of tuberculosis of the dorsal and lumbar spine","volume":"85","author":"Sundararaj","year":"2003"},{"key":"b33-spine12582","series-title":"Oper Orthop Traumatol","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1007\/s00064-009-1808-2","article-title":"Extended posterior circumferential approach to thoracic and thoracolumbar spine","volume":"21","author":"Sundararaj","year":"2009"},{"key":"b34-spine12582","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"680","DOI":"10.2106\/00004623-196951040-00006","article-title":"Treatment of neurological complications in tuberculosis of the spine","volume":"51","author":"Tuli","year":"1969"},{"key":"b35-spine12582","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2325","DOI":"10.1097\/01.brs.0000182986.43345.cb","article-title":"A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status","volume":"30","author":"Vaccaro","year":"2005"},{"key":"b36-spine12582","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/01.bsd.0000180080.59559.45","article-title":"Surgical decision making for unstable thoracolumbar spine injuries: results of a consensus panel review by the Spine Trauma Study Group","volume":"19","author":"Vaccaro","year":"2006"},{"key":"b37-spine12582","series-title":"Arch Phys Med Rehabil","first-page":"784","article-title":"Recovery following complete paraplegia","volume":"73","author":"Waters","year":"1992"},{"issue":"6","key":"b38-spine12582","series-title":"Neurosurg Focus","first-page":"e4","article-title":"Perioperative complications with costotransversectomy and anterior approaches to thoracic and thoracolumbar tumors","volume":"11","author":"Wiggins","year":"2001"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/18\/2\/article-p194.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/18\/2\/article-p194.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/18\/2\/article-p194.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T00:24:55Z","timestamp":1681604695000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/18\/2\/article-p194.xml"}},"subtitle":["Technical note"],"short-title":[],"issued":{"date-parts":[[2013,2]]},"references-count":38,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/2012.10.spine12582","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2013,2]]}}}