Mini-Open Transthoracic Approach for Resection of a Calcified Herniated Thoracic Disc and Repair of the Dural Surface with Fibrin Glue: A Case Report

Abstract

This study reports a case of severe anterior compression of the spinal cord by a calcified herniated thoracic disc at the T9/10 level in a 46-yearold woman. She underwent resection of the calcified herniated thoracic disc and the integrated dura, using a microscopically assisted mini-open transthoracic approach. The remaining dura mater was shaped and repaired by alternate overlapping without suture. The dural surface was reinforced with a combination of fibrin glue and a polyglycolic acid sheet. This novel procedure prevented postoperative cerebrospinal fluid leakage. The patient made an excellent recovery, without any complications.

Modified eggshell procedure via posterior approach for sclerosing thoracic disc herniation: a preliminary study

“…Recently, they reported that it was safe and effective for gradual spinal cord decompression through migration of floated plaques after anterior decompression via a posterolateral approach for OPLL in the thoracic spine [ 16 ]. Besides, they reported in another study [ 17 ] a case of severe anterior compression of the spinal cord by a calcified herniated thoracic disc at the T9/10 level in a 46-year-old woman. They performed resection of the calcified herniated thoracic disc and the integrated dura, using a microscopically assisted mini-open transthoracic approach in which the rib bone was partially drilled to widen the operative field, which was a successful attempt.…”