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Related Experiment Videos

Percutaneous microdecompressive endoscopic thoracic discectomy for herniated thoracic discs.

John C Chiu1, Thomas J Clifford, Romulo Sison

  • 1California Center for Minimally Invasive Spine Surgery, Thousand Oaks, USA.

Surgical Technology International
|October 18, 2002
PubMed
Summary

Spinal surgeons seek optimal thoracic disc herniation treatment. Various surgical approaches exist, but the risk of spinal cord injury remains a significant concern for these procedures.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Thoracic disc herniations pose a surgical challenge due to the risk of spinal cord injury.
  • Numerous surgical techniques have been developed and attempted for thoracic disc herniation treatment.
  • Posterior laminectomy is currently disfavored due to high rates of neurological deficit.

Purpose of the Study:

  • To review the historical and current surgical approaches for treating thoracic disc herniations.
  • To highlight the ongoing search for a definitive and safe surgical procedure.
  • To emphasize the critical consideration of spinal cord injury risk in surgical decision-making.

Main Methods:

  • Review of historical surgical techniques for thoracic disc herniation.

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  • Discussion of various surgical approaches including costotransversectomy, trans-thoracic, postero-lateral, and trans-pedicular.
  • Mention of recent advancements such as transthoracic endoscopic procedures.

    • Main Results:

    • A variety of surgical methods have been employed for thoracic disc herniations.
    • The risk of neurological compromise has led to the abandonment or modification of certain techniques.
    • Surgery is typically reserved for cases with significant cord compression and neurological deficits.

    Conclusions:

    • The treatment of thoracic disc herniations remains an area of active surgical development.
    • Minimizing the risk of spinal cord injury is paramount in selecting a surgical approach.
    • Further research is needed to establish a universally accepted and safe procedure of choice.