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Transforaminal approach in thoracal disc pathologies: transforaminal microdiscectomy technique
Sedat Dalbayrak1, Onur Yaman2, Kadir Oztürk1
1Neurospinal Academy, Neurosurgery, 34940 Istanbul, Turkey.
Minimally Invasive Surgery
|May 20, 2014
Summary
Transforaminal microdiscectomy using a microscope is a viable surgical option for thoracic disc herniations. This minimally invasive technique is cost-effective and achievable with standard surgical equipment.
Area of Science:
- Neurosurgery
- Spinal Surgery
Background:
- Thoracic disc herniations are treated with various surgical approaches.
- Minimally invasive endoscopic foraminal approaches are increasingly utilized.
Purpose of the Study:
- To demonstrate the feasibility of microsurgical transforaminal discectomy for thoracic disc herniations.
- To show that spinal canal access is possible via the foramen using a microscope without an endoscope.
Main Methods:
- Forty-two patients with thoracic disc herniations medial to the pedicle underwent microsurgical transforaminal discectomy.
- Access was gained through the Kambin triangle, with foramen enlargement to enter the spinal canal.
Main Results:
- Average procedure time was 65 minutes with an average blood loss of 100cc.
- Patients were mobilized the same postoperative day with no observed complications.
- Mean follow-up was 30.2 months (range 5-84 months).
Conclusions:
- Transforaminal microdiscectomy is a safe and effective treatment for specific thoracic disc herniations.
- This technique is accessible in standard surgical settings without requiring specialized equipment or high costs.
