Читать книгу Neurosurgery Outlines - Paul E. Kaloostian - Страница 87

• Spinal stenosis

• No improvement after nonoperative therapy (physical therapy, pain management)

• Partial paraplegia

• Residual spinal compression

• Existence of blunt chest trauma or potential hemorrhagic lesions

• Unstable patterns of fracture

• Sufficient disruption of supporting ligaments

• Transthoracic/Transsternal approaches:

– Partial injury of thoracic cord

– Anterior compression

– No intraspinal displacement of posterior bone elements

– Anterior spinal cord syndrome with partial or complete myelographic spinal block

– Thoracic disk disease

– Vertebral osteomyelitis of diskitis