Clinical Presentation
Revision surgeries more frequently involved osteotomies (R = 54.9% vs. P = 14.3%, P = 0.00) [PMID:21540777].
Management
A retrospective review of seven patients undergoing a 2-stage TES for spinal tumors demonstrated intact spinal fixation with no failures of orthogonal fixation methods, supporting its efficacy in achieving rigid fixation [PMID:28437354].
Primary patients had significantly lower overall complications than revision patients (P = 45.2% vs. R = 58.2%, P = 0.042) [PMID:21540777].
Complications
Among the seven patients reviewed, there were no significant surgical complications reported, and none experienced neurological deterioration post-surgery [PMID:28437354].
Revision surgeries required more instrumented levels (P = 12.1 vs. P = 10.5 levels, P = 0.00) and a higher rate of fusion to the sacrum (R = 87.1% vs. P = 61.0%, P = 0.00) [PMID:21540777].
Prognosis & Follow-up
The average modified Rankin Scale scores improved from 2.7 preoperatively to 0.7 at last follow-up, indicating substantial functional recovery [PMID:28437354].
References
1 Zaidi HA, Awad AW, Dickman CA. Complete Spondylectomy Using Orthogonal Spinal Fixation and Combined Anterior and Posterior Approaches for Thoracolumbar Spinal Reconstruction: Technical Nuances and Clinical Results. Clinical spine surgery 2017. link 2 Cho SK, Bridwell KH, Lenke LG, Cho W, Zebala LP, Pahys JM et al.. Comparative analysis of clinical outcome and complications in primary versus revision adult scoliosis surgery. Spine 2012. link
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