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Mini-open Lateral Retropleural Approach for Symptomatic Thoracic Disk Herniations.

Chun-Po Yen1,2, Juan S Uribe1

  • 1Department of Neurological Surgery, University of South Florida, Tampa, FL.

Clinical Spine Surgery
|September 1, 2017
PubMed
Summary

A mini-open lateral retropleural approach offers a safe and effective solution for symptomatic thoracic disk herniations (TDH). This minimally invasive technique resulted in minimal complications and rapid patient recovery.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Minimally Invasive Procedures

Background:

  • Symptomatic thoracic disk herniations (TDH) present significant surgical challenges.
  • Traditional approaches may involve higher morbidity.
  • Need for effective and less invasive surgical options.

Purpose of the Study:

  • To describe a mini-open lateral retropleural approach for TDH.
  • To report the clinical outcomes and efficacy of this technique.

Main Methods:

  • A cohort of 23 patients underwent a mini-open lateral retropleural diskectomy.
  • The procedure involved a small lateral incision, rib resection, and dissection through the retropleural space.
  • Disk removal was performed after partial corpectomy for ventral access.

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Main Results:

  • Successful disk removal in 21 out of 23 patients.
  • Mean blood loss was 214cc, and mean hospital stay was 5.3 days.
  • No mortality or new neurological deficits were observed during the mean 15.4-month follow-up.

Conclusions:

  • The mini-open lateral retropleural approach is a safe and effective method for treating symptomatic TDH.
  • This technique is associated with minimal morbidities.
  • Patients benefit from a fast recovery period.