Vertebral body replacement by posterior approach for XXXX in the thoracic spine-modified technique using an expandable cage.

@entity1 @entity5229 @entity5 @entity260 @entity1745 @entity3
OBJECTIVE: To describe the technique of all-posterior vertebral body replacement using an expandable cage and angled instruments. This method facilitates implant seating with limited posterior decompression useful in the setting of @entity3 . INDICATIONS: @entity1 with @entity3 of the thoracic spine with or without @entity1745 . CONTRAINDICATIONS: @entity1 with a limited life expectancy of less than 6  months. Multiple foci of @entity3 in the spine. SURGICAL TECHNIQUE: A hemilaminectomy was performed followed by nerve root sacrifice. The pleura was mobilized away from the vertebral body, after which decompression and @entity5 resection was performed from an all-posterior approach. An expandable vertebral body cage was inserted with a rotational manoeuvre and expanded in situ. POSTOPERATIVE MANAGEMENT: The @entity1 was mobilized on postoperative day  1. A chest X-ray is also recommended to exclude incidental @entity5229 . RESULTS: Four @entity1 were operated by an all-posterior vertebral body replacement during a 6-month period. The average length of surgical procedure was 187  min (range 165-220  min). No @entity1 required a transthoracic approach. There were no intra- or @entity260 and all @entity1 could be discharged to home self-ambulating.
