Lateral extracavitary approach to the spine for thoracic disc herniation

Maiman, Dennis J.; Larson, Sanford J.; Luck, Elizabeth A.; El-Ghatit, A.

doi:10.1097/00006123-198402000-00010

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“…Because of the underlying anatomy, ventral decompression of the thoracic spinal canal is a technical challenge. Open decompression inflicts great trauma, has a high rate of complications, and possibly requires additional internal fixation [ 4 , 7 , 8 ]. With the improvement of minimally invasive surgery, video-assisted thoracoscopic surgery, microendoscopic surgery, and full-endoscopic surgery have achieved satisfactory clinical outcomes and fewer complications in the treatment of TDH [ 15 – 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Gao

Wei

et al. 2021

Pain Research and Management

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Background. Symptomatic thoracic disc herniation is a challenge in spinal surgery, especially for cases with calcification. Traditional open operation has a high complication rate. The authors introduced a modified full-endoscopic transforaminal ventral decompression technique in this study and evaluated its imaging and clinical outcomes. Materials and Methods. Eleven patients with symptomatic thoracic disc herniation who underwent full-endoscopic transforaminal ventral decompression in a single medical center were enrolled. The surgical technique was performed as described in detail. Dilator sliding punching, endoscope-monitored foraminoplasty, and base cutting through the “safe triangle zone” are the key points of the technique. Clinical outcomes were assessed by the modified Japanese Orthopedic Association (mJOA) score for neurological improvement and the visual analogy score (VAS) for thoracic and leg pain. The operation time, hospital stay, and complications were also analyzed. Results. Postoperative magnetic resonance imaging (MRI) revealed good decompression of the spinal cord. The mJOA improved from 7.4 (range: 5–10) to 10.2 (range: 9–11). Axial thoracic pain improved in 8 of 9 patients. Leg pain and thoracic radicular pain improved in all patients. No complications were observed. The average operation time was 136 minutes (range: 70–180 minutes). The average length of hospital stay was 5.3 days (range: 2–8 days). Conclusion. Minimally invasive full-endoscopic transforaminal ventral decompression for the treatment of symptomatic thoracic disc herniation with or without calcification is feasible and may be another option for this challenging spine disease.

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Section: Discussionmentioning

confidence: 99%

“…Surgical treatment of TDHs is quite challenging. A variety of surgical approaches have been developed to treat TDHs, including transfacet pedicle-sparing [ 4 ], transpedicular [ 5 ], costotransversectomy [ 6 ], and lateral extracavitary [ 7 ]. However, each of these approaches has its own disadvantages and complications [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Gao

Wei

et al. 2021

Pain Research and Management

View full text Add to dashboard Cite

show abstract

Lateral extracavitary approach to the spine for thoracic disc herniation

Cited by 1 publication

References 0 publications

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

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