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

Table 1

MIS for anterior T and TLJ spinal reconstruction in 187 patients at our Institution.

VATSMASS value

Number of patients11176
Male/female68/4339/370.177
Mean age (year)57.1 ± 14.560.4 ± 14.80.133
Number of pathologic regions0.085
 T59 (53)50 (66)
 TLJ52 (47)26 (34)
Number of pathologic types0.253
 Fracture25 (23)9 (12)
 Infectious spondylitis31 (28)24 (32)
 Spinal malignancy49 (44)36 (47)
 Disc herniation or degeneration6 (5)7 (9)
Perioperative data
 Operating (mins)224.5 ± 68.6183.5 ± 33.2
 Estimated blood (ml)916.0 ± 660.3933.8 ± 847.60.879
 Conversion to standard thoracotomy8 (7)0
 Need for postoperative ICU care9 (8)4 (5)0.565

Data are expressed as mean ± standard deviation or number (%). .
Patients undergoing conversion thoracotomy were not included.
MIS: minimally invasive surgery; VATS: video-assisted thoracoscopic surgery; MASS: minimal access spinal surgery; T: thoracic; TLJ: thoracolumbar junction; ICU: intensive care unit.