{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:48:43Z","timestamp":1790419723934,"version":"4.1.0"},"reference-count":22,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,9]]},"abstract":"\n OBJECTIVE<\/jats:title>\n Advancements in less invasive lateral retropleural\/retroperitoneal approaches aim to address the limitation of posterolateral approaches and avoid complications associated with anterior open thoracotomy or thoracoabdominal approaches.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Consecutive patients treated with a mini-open lateral approach for thoracic or thoracolumbar anterior column pathologies were analyzed in a retrospective case series including clinical and radiographic outcomes. Special attention is given to operative techniques and surgical nuances.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Eleven patients underwent a mini-open lateral retropleural or combined retropleural\/retroperitoneal approach for thoracic or thoracolumbar junction lesions. Surgical indications included chronic fracture\/deformity (n = 5), acute fracture (n = 2), neoplasm (n = 2), and osteomyelitis (n = 2). The mean length of postoperative hospital stay was 7.2 days (range 2\u201319 days). All patients ultimately had successful decompression and reconstruction with a mean follow-up of 16.7 months (range 6\u201329 months). Axial back pain assessed by the visual analog scale improved from a mean score of 8.2 to 2.2. Complications included 1 patient with deep venous thrombosis and pulmonary embolism and 1 with pneumonia. One patient developed increased leg weakness, which subsequently improved. One patient undergoing corpectomy with only lateral plate fixation developed cage subsidence requiring posterior stabilization.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Mini-open lateral retropleural and retroperitoneal corpectomies can safely achieve anterior column reconstruction and spinal deformity correction for various thoracic and thoracolumbar vertebral pathologies.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2020.6.focus20360","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T06:32:03Z","timestamp":1598941923000},"page":"E13","source":"Crossref","is-referenced-by-count":13,"title":["Mini-open lateral retropleural\/retroperitoneal approaches for thoracic and thoracolumbar junction anterior column pathologies"],"prefix":"10.3171","volume":"49","author":[{"given":"Peter A.","family":"Christiansen","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia;"},{"name":"Neurosurgery Department, Southern California Permanente Medical Group, San Diego, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shengbin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Guigang City People\u2019s Hospital, Guigang;"},{"name":"Guangxi Medical University, Nanning, Guangxi, People\u2019s Republic of China; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark E.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan S.","family":"Uribe","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Po","family":"Yen","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"b1","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 MF","year":"1996","unstructured":"McDonnell MF, Glassman SD, Dimar JR II, Perioperative complications of anterior procedures on the spine. J Bone Joint Surg Am. 1996;78(6):839\u2013847.10.2106\/00004623-199606000-000068666601"},{"issue":"6","key":"b2","series-title":"Oper Neurosurg (Hagerstown).","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1093\/ons\/opz298","article-title":"Mini-open lateral corpectomy for thoracolumbar junction lesions","volume":"18","author":"Huangxs S","year":"2020","unstructured":"Huangxs S, Christiansen PA, Tan H, Mini-open lateral corpectomy for thoracolumbar junction lesions. Oper Neurosurg (Hagerstown). 2020;18(6):640\u2013647.10.1093\/ons\/opz29831605108"},{"issue":"4","key":"b3","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1227\/01.NEU.0000298909.01754.C5","article-title":"Technique and clinical results of minimally invasive reconstruction and stabilization of the thoracic and thoracolumbar spine with expandable cages and ventrolateral plate fixation","volume":"61","author":"Scheufler KM","year":"2007","unstructured":"Scheufler KM. Technique and clinical results of minimally invasive reconstruction and stabilization of the thoracic and thoracolumbar spine with expandable cages and ventrolateral plate fixation. Neurosurgery. 2007;61(4):798\u2013809.1798694210.1227\/01.NEU.0000298909.01754.C5"},{"issue":"26)(suppl","key":"b4","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"S338","DOI":"10.1097\/BRS.0b013e3182023113","article-title":"Minimally invasive surgery for traumatic spinal pathologies: a mini-open, lateral approach in the thoracic and lumbar spine","volume":"35","author":"Smith WD","year":"2010","unstructured":"Smith WD, Dakwar E, Le TV, Minimally invasive surgery for traumatic spinal pathologies: a mini-open, lateral approach in the thoracic and lumbar spine. 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