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Related Experiment Videos

Surgical approaches to thoracic disc herniations.

M el-Kalliny1, J M Tew, H van Loveren

  • 1University of Cincinnati College of Medicine, Ohio.

Acta Neurochirurgica
|January 11, 1991
PubMed
Summary

Early diagnosis of thoracic disc herniations is improving with spinal magnetic resonance imaging (MRI). Optimal surgical approaches are crucial for effective decompression and patient outcomes.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Thoracic disc herniations are increasingly diagnosed early due to advances in spinal magnetic resonance imaging (MRI).
  • Optimal surgical outcomes depend on early diagnosis and selecting the best surgical approach for adequate decompression.
  • Lateral and anterior surgical approaches to the thoracic spine are necessary for optimal results.

Purpose of the Study:

  • To review the operative management of 21 patients with thoracic disc herniation.
  • To evaluate three distinct surgical approaches: transpedicular-transfacetal, posterolateral-extrapleural (costotransversectomy), and transthoracic-transpleural.
  • To analyze clinical and radiologic findings and outcomes for each approach.

Main Methods:

  • Retrospective review of 21 patients undergoing surgery for thoracic disc herniation.
  • Surgical techniques included transpedicular-transfacetal, posterolateral-extrapleural (costotransversectomy), and transthoracic-transpleural approaches.
  • Evaluation of clinical presentation, radiological findings, surgical technique, and patient outcomes.

Main Results:

  • The study reviewed the operative management of 21 patients with thoracic disc herniation.
  • Three surgical approaches were utilized: transpedicular-transfacetal, posterolateral-extrapleural (costotransversectomy), and transthoracic-transpleural.
  • Clinical and radiologic findings and results for each approach were analyzed.

Conclusions:

  • Early diagnosis of thoracic disc herniation with MRI is becoming more common.
  • Optimal surgical results require adequate decompression with minimal spinal cord and nerve root manipulation.
  • Lateral and anterior surgical approaches are essential for achieving optimal outcomes in thoracic disc herniation surgery.

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