Percutaneous Endoscopic Thoracic Discectomy; Transforaminal Approach

Choi, Kyung-Chul; Eun, Sang Soo; Lee, S. H.; Lee, H. Y.

doi:10.1055/s-0029-1246159

Cited by 87 publications

(68 citation statements)

References 3 publications

(4 reference statements)

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“…PETD is one type of minimally invasive spinal surgery, whose procedures are derived from the percutaneous endoscopic lumbar discectomy (PELD) that would be a promising alternative to the MED technique as well as microscope-assisted technique [11][12][13]. Because of the differences between lumbar anatomy and thoracic anatomy, the canal and nerve root, any detailed step of PETD must be more precise from that of PELD, which has a greater degree of safety that can compensate the position of movable cannulas in the foramen.…”

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Printing for Percutaneous Endoscopic Thoracic Discectomy in Thoracic Disc Herniations: Case Report and Anatomy Review

Zhou¹,

Yeung²,

Hui³

et al. 2017

J Spine

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Introduction: Thoracic disc herniations causing unrelenting neuralgia are relatively rare, especially cephalad to T-10 because the rib cage provides enough stability to offer relief with non-surgical methods over time. A transforaminal percutaneous endoscopic thoracic approach (PETD) however, is a feasible minimally invasive option for decompressing and removing the herniation without resorting to a more invasive and surgically more morbid open approach requiring thoracotomy and removal of the rib head through the thoracic cavity.

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Section: Discussionmentioning

confidence: 99%

Three-Dimensional Printing for Percutaneous Endoscopic Thoracic Discectomy in Thoracic Disc Herniations: Case Report and Anatomy Review

Zhou¹,

Yeung²,

Hui³

et al. 2017

J Spine

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“…This encouraging result suggests that our surgical technique is effective in improving the symptoms of thoracic herniations at different disc levels. When using a similar technique to treat soft thoracic disc herniations, Choi et al also achieved satisfying results [28], which indicates the technique is reproducible.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of minimally invasive techniques have compelled many physicians to explore the feasibility of using minimally invasive techniques in treating thoracic disc herniation, and a number of authors have reported encouraging primary results [14, 25–28]. Based on our extensive experience with treating lumbar and cervical disc herniation using minimally invasive techniques, we have developed an endoscopic transforaminal foraminotomy and discectomy technique for treating thoracic disc herniation.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation

Nie

Liu

2013

Minimally Invasive Surgery

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Thoracic disc herniation is a relatively rare yet challenging-to-diagnose condition. Currently there is no universally accepted optimal surgical treatment for symptomatic thoracic disc herniation. Previously reported surgical approaches are often associated with high complication rates. Here we describe our minimally invasive technique of removing thoracic disc herniation, and report the primary results of a series of cases. Between January 2009 and March 2012, 13 patients with symptomatic thoracic disc herniation were treated with endoscopic thoracic foraminotomy and discectomy under local anesthesia. A bone shaver was used to undercut the facet and rib head for foraminotomy. Discectomy was achieved by using grasper, radiofrequency, and the Holmium-YAG laser. We analyzed the clinical outcomes of the patients using the visual analogue scale (VAS), MacNab classification, and Oswestry disability index (ODI). At the final follow up (mean: 17 months; range: 6–41 months), patient self-reported satisfactory rate was 76.9%. The mean VAS for mid back pain was improved from 9.1 to 4.2, and the mean ODI was improved from 61.0 to 43.8. One complication of postoperative spinal headache occurred during the surgery and the patient was successfully treated with epidural blood patch. No other complications were observed or reported during and after the surgery.

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“…25,26 With improved surgical access and better surgical instruments, a broader spectrum of thoracic spinal disease becomes accessible. 27,28 …”

Section: Thoracic Spinementioning

confidence: 99%

Multi-level spine endoscopy

Middleton

Wagner²,

Gibson

2017

EFORT Open Reviews

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In the last ten years, there has been an exponential increase in endoscopic spinal surgery practice.With improvements in equipment quality and the availability of high definition camera systems, cervical endoscopic disc resection is now a viable alternative to anterior cervical decompression and fusion (ACDF) or disc arthroplasty for the treatment of disc prolapse and low grade stenosis.Based on the current literature, there is now strong evidence to support the use of transforaminal endoscopic approaches for the treatment of thoracic disc prolapse.There is now level I evidence to show that outcomes following transforaminal endoscopic discectomy (TED) are at least equivalent to those after open microdiscectomy, with an expected shorter operating time, lesser requirement for analgesia, reduced duration of post-operative disability, more rapid rehabilitation and lower costs of care. However, it should be recognised that there is a significant learning curve for TED.New endoscopic techniques with interlaminar approaches allow the decompression of central and lateral recess stenosis. Future developments will facilitate vision and access to the spine with 3D imaging and robotics at the forefront.We present a case report of whole spine endoscopic decompression to illustrate the potential of endoscopic surgery at all spinal levels.Cite this article: EFORT Open Rev 2017;2:317-323. DOI: 10.1302/2058-5241.2.160087

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Percutaneous Endoscopic Thoracic Discectomy; Transforaminal Approach

Abstract: As it has been proven to lessen the morbidity rate, this percutaneous endoscopic thoracic discectomy (PETD) technique for symptomatic soft TDH is a safe and effective method that provides a direct route to the lesion under local anesthesia.

Cited by 87 publications

References 3 publications

Three-Dimensional Printing for Percutaneous Endoscopic Thoracic Discectomy in Thoracic Disc Herniations: Case Report and Anatomy Review

Three-Dimensional Printing for Percutaneous Endoscopic Thoracic Discectomy in Thoracic Disc Herniations: Case Report and Anatomy Review

Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation

Multi-level spine endoscopy

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