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Related Experiment Video

Updated: Jan 3, 2026

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy
03:24

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy

Published on: January 26, 2024

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Revision surgery in thoracic disc herniation.

Stephan Dützmann1, Roli Rose2, Daniel Rosenthal2

  • 1Neurochirurgische Praxis, Zeppelinstr. 24, 61352, Bad Homburg, Germany. Stephan.duetzmann@gmail.com.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|November 18, 2019
PubMed
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This summary is machine-generated.

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Same author

Volumetric and symptomatic characteristics of thoracic disc herniation: an observational study of 994 surgically treated patients.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2026
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[Thoracic disc herniation].

Orthopadie (Heidelberg, Germany)·2024
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Evolution of Video Assisted Thoracoscopic Surgery for Thoracic Disc Herniation: Towards Biportal Thoracoscopic Approach.

World neurosurgery·2024
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Malignant pleural mesothelioma characteristics and outcomes: A SEER-Medicare analysis.

Journal of surgical oncology·2023
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Antero-lateral transthoracic endoscopic approach for a calcified thoracic disc herniation.

Neurosurgical focus: Video·2022
Same author

Nerve autofluorescence under near-ultraviolet light: cutting-edge technology for intra-operative neural tissue visualization in 17 patients.

Surgical endoscopy·2021

Reoperation for residual thoracic disc herniation is necessary when initial surgery fails. Complete decompression during revision surgery can improve outcomes, but progressive myelopathy and scarring pose risks.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Thoracic Spine

Background:

  • Surgical treatment failures and reoperation strategies for residual thoracic disc herniations are not well-documented.
  • Incomplete disc removal can lead to persistent or recurrent symptoms, necessitating further intervention.

Purpose of the Study:

  • To investigate factors contributing to incomplete thoracic disc removal during initial surgery.
  • To recommend effective reoperation strategies for symptomatic residual thoracic disc herniations.

Main Methods:

  • Retrospective review of clinical records and imaging studies of patients undergoing revision surgery for thoracic disc herniation.
  • Analysis of 21 patients treated between 2013 and 2018 who had previously undergone discectomy at an outside facility.
Keywords:
EndoscopyRevision surgeryThoracic disc diseaseThoracoscopy

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Last Updated: Jan 3, 2026

Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy
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Main Results:

  • Twenty-one patients presented with residual, symptomatic thoracic disc herniations after initial discectomy.
  • All initial excisions were incomplete regarding spinal cord decompression; all were completely removed in a single revision procedure.
  • Post-revision, 7 patients showed neurological improvement, 3 worsened, and 11 remained stable after a mean 24-month follow-up.

Conclusions:

  • Pure dorsal decompression may offer only temporary symptom relief in cases of spinal cord compression.
  • Progressive myelopathy, potentially from mechanical and vascular deficits, and scar formation can lead to symptom worsening after revision surgery.