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BioMed Research International
Volume 2016, Article ID 6808507, 9 pages
Clinical Study

Video-Assisted Thoracoscopic Surgery and Minimal Access Spinal Surgery Compared in Anterior Thoracic or Thoracolumbar Junctional Spinal Reconstruction: A Case-Control Study and Review of the Literature

1Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan
2College of Medicine, Chang Gung University, Taoyuan, Taiwan
3Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan
4Department of Orthopedic Surgery, Taipei Medical University Hospital, Taipei, Taiwan
5Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan

Received 31 July 2016; Revised 16 November 2016; Accepted 1 December 2016

Academic Editor: William B. Rodgers

Copyright © 2016 Ching-Yu Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


There are no published reports that compare the outcomes of video-assisted thoracoscopic surgery (VATS) and minimal access spinal surgery (MASS) in anterior spinal reconstruction. We conducted a retrospective case-control study in a single center and systematically reviewed the literature to compare the efficacy and safety of VATS and MASS in anterior thoracic (T) and thoracolumbar junctional (TLJ) spinal reconstruction. From 1995 to 2012, there were 111 VATS patients and 76 MASS patients treated at our hospital. VATS patients had significantly () longer operating times and significantly () higher thoracotomy conversion rates. We reviewed 6 VATS articles and 10 MASS articles, in which there were 625 VATS patients and 399 MASS patients. We recorded clinical complications and a thoracotomy conversion rate from our cases and the selected articles. The incidence of approach-related complications was significantly () higher in VATS patients. The conversion rate was 2% in VATS patients and 0% in MASS patients (). In conclusion, MASS is associated with reduction in operating time, approach-related complications, and the thoracotomy conversion rate.