Specifically, a patient suffering from thoracic kyphosis (60o) in combination with an increased degree of osteoporosis, resulting in difficulty in walking and general movement, underwent innovative and certified for the first time in Greece minimally invasive lateral access (XLIF) in three consecutive levels (Θ11-Ο2) with materials from NuVasive Ink. USA.
The operation was performed by Dr. George Vastardis, Specialized Spine Surgeon, Director of Clinical Endoscopic and Minimally Invasive Spine Surgery of Metropolitan General with his specialized team.
The intervertebral spaces were prepared and 3D printing cages were installed 3D printing Modulus cages 10o through a special expander in combination with stabilization of lateral access through special low profile 3D plates to avoid open and bloody posterior access.
A correction of about 28o was achieved, in a very short intraoperative time compared to the traditional methods, with minimal blood loss (75cc) and 3 incisions of 3cm.
Also, to avoid failure of the lateral screws supporting the plates due to large osteoporosis, a quantity of special cement was placed to stabilize vertebral fractures.
Finally, throughout the operation there was a specialized continuous electrophysiological control of lateral access to monitor the spinal cord and peripheral nerves.
The patient was walked for two hours postoperatively without much pain. Her posture had changed, she was in a more upright position as the kyphosis was reduced by 28 degrees. The patient was discharged from the hospital on the second day of her hospitalization, without the need for a blood transfusion as his loss was very small.
Dr. George Bastardis, Specialized Spine Surgeon, Director of Clinical Endoscopic and Minimally Invasive Spine Surgery of the Metropolitan General
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