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Related Experiment Video

Updated: Jun 25, 2026

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation
06:26

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation

Published on: November 17, 2023

Transvertebral herniotomy for T2/3 disc herniation--a case report.

Norio Kawahara1, Satoru Demura, Hideki Murakami

  • 1Department of Orthopaedic Surgery, Kanazawa University, Kanazawa, Japan. seikei@pop01.kanazawa-u.ac.jp

Journal of Spinal Disorders & Techniques
|February 5, 2009
PubMed
Summary

Transvertebral herniotomy offers a less invasive and safer surgical option for thoracic disc herniation. This case report highlights successful treatment of T2/3 disc herniation with full motor and sensory recovery.

Related Concept Videos

Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Minimally Invasive Procedures

Background:

  • Surgical access to the upper thoracic spine is challenging due to its complex anatomy.
  • Existing surgical approaches for thoracic disc herniation have limitations and drawbacks.
  • A consensus on the optimal surgical procedure for upper thoracic disc herniation remains elusive.

Observation:

  • A 51-year-old male presented with acute paraparesis and bladder paralysis due to T2/3 disc herniation.
  • The patient underwent a transvertebral herniotomy, an anterior approach through the T2 vertebral body.
  • The procedure involved creating a small (10-mm) opening without sternum splitting.

Findings:

  • The transvertebral approach provided satisfactory decompression of the spinal cord.

Related Experiment Videos

Last Updated: Jun 25, 2026

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation
06:26

The Third Channel-Assisted Unilateral Biportal Endoscopic Technique for Lumbar Spinal Stenosis Combined with Contralateral Disc Herniation

Published on: November 17, 2023

  • The patient experienced a full recovery of motor and sensory functions post-operatively.
  • Microscopic removal of the herniated disc was successfully achieved.

    • Implications:

    • The transvertebral approach is a viable and less invasive alternative for treating upper thoracic disc herniations.
    • This technique offers potential advantages over traditional methods like sternum splitting or transthoracic approaches.
    • Further research into the transvertebral approach for thoracic disc lesions is warranted.