Combined intra-extradural approach for posterolateral thoracic disk herniations: how I do it.
Calcified disc herniation
Combined intra-extradural approach
Posterior spine approach
Thoracic disc herniation
Thoracic myelopathy
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
05 Oct 2024
05 Oct 2024
Historique:
received:
04
09
2024
accepted:
18
09
2024
medline:
6
10
2024
pubmed:
6
10
2024
entrez:
5
10
2024
Statut:
epublish
Résumé
Thoracic disc herniation is a rare degenerative spine disease that can cause severe neurological deficits. Nowadays, controversies still stand on the most effective surgical route. Herein, we describe the combined intra-extradural approach for a posterolateral thoracic disk herniation. We divided the technique into four steps: bony, extradural, intradural and intra-extradural. We disclose perioperative shrewdness aimed at improving outcomes and reducing complications. The combined intra-extradural approach represents an effective technique for posterolateral thoracic disk herniations, reducing both the risk of spinal cord damages and post-operative CSF leaks.
Sections du résumé
BACKGROUND
BACKGROUND
Thoracic disc herniation is a rare degenerative spine disease that can cause severe neurological deficits. Nowadays, controversies still stand on the most effective surgical route.
METHOD
METHODS
Herein, we describe the combined intra-extradural approach for a posterolateral thoracic disk herniation. We divided the technique into four steps: bony, extradural, intradural and intra-extradural. We disclose perioperative shrewdness aimed at improving outcomes and reducing complications.
CONCLUSION
CONCLUSIONS
The combined intra-extradural approach represents an effective technique for posterolateral thoracic disk herniations, reducing both the risk of spinal cord damages and post-operative CSF leaks.
Identifiants
pubmed: 39367922
doi: 10.1007/s00701-024-06278-6
pii: 10.1007/s00701-024-06278-6
doi:
Types de publication
Journal Article
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
396Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
Références
Bocchetti A, Cioffi V, de Falco R (2017) Combined intra-extradural approach for posterolateral thoracic disk herniations. Preliminary study and technical note. Eur Spine J 26(Suppl 4):505–513. https://doi.org/10.1007/s00586-017-5041-7
doi: 10.1007/s00586-017-5041-7
pubmed: 28331980
Bouthors C, Benzakour A, Court C (2019) Surgical treatment of thoracic disc herniation: an overview. Int Orthop 43(4):807–816. https://doi.org/10.1007/s00264-018-4224-0
doi: 10.1007/s00264-018-4224-0
pubmed: 30406842
Charalampidis A, Jiang F, Wilson JRF, Badhiwala JH, Brodke DS, Fehlings MG (2020) The use of intraoperative neurophysiological monitoring in spine surgery. Global Spine J 10(1 Suppl):104S-114S. https://doi.org/10.1177/2192568219859314
doi: 10.1177/2192568219859314
pubmed: 31934514
pmcid: 6947672
Court C, Mansour E, Bouthors C (2018) Thoracic disc herniation: Surgical treatment. Orthop Traumatol Surg Res 104(1S):S31–S40. https://doi.org/10.1016/j.otsr.2017.04.022
doi: 10.1016/j.otsr.2017.04.022
pubmed: 29225115
Farber SH et al (2024) Reliability of a novel classification system for thoracic disc herniations. Spine (Phila Pa 1976) 49(5):341–348. https://doi.org/10.1097/BRS.0000000000004701
doi: 10.1097/BRS.0000000000004701
pubmed: 37134139
Gao L, Wang L, Su B, Wang P, Ye J, Shen H (2013) The vascular supply to the spinal cord and its relationship to anterior spine surgical approaches. Spine J 13(8):966–973. https://doi.org/10.1016/j.spinee.2013.03.017
doi: 10.1016/j.spinee.2013.03.017
pubmed: 23608560
Martinez-del-Campo E, Soriano-Baron H, Theodore N (2016) Extraspinal anatomy and surgical approaches to the thoracic spine. In Benzel's Spine Surgery: Techniques, Complication avoidance and management: volume 1–2, fourth edition, vol. 1–2, Elsevier Ed, pp 397–405
Mizutani K, Rodesch G (2020) Anatomical disposition of the anterior spinal artery and vein: Subpial or subarachnoid? Interv Neuroradiol 26(6):706–707. https://doi.org/10.1177/1591019920928628
doi: 10.1177/1591019920928628
pubmed: 32576068
pmcid: 7724610