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How I do it: posterior transdural approach for central soft thoracic disk herniation
Carlo Mandelli1, Alfio Spina2, Francesco Calvanese1
1Department of Neurosurgery and Gamma Knife Radiosurgery, IRCCS San Raffaele Scientific Institute, Vita-Salute University, Via Olgettina 60, 20132, Milan, Italy.
Acta Neurochirurgica
|May 10, 2020
Summary
A modified posterior transdural approach offers an effective surgical option for rare thoracic disc herniation (TDH). This technique minimizes spinal cord damage, improving patient outcomes in managing this challenging condition.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Neurology
Background:
- Thoracic disc herniation (TDH) is an uncommon condition with significant potential for severe neurological deficits.
- Current surgical management strategies for TDH remain a subject of debate and present considerable technical challenges.
Purpose of the Study:
- To present a modified transdural surgical approach for treating thoracic disc herniation (TDH).
- To outline pre-, peri-, and postoperative management strategies to enhance patient care and reduce morbidity associated with the surgical approach.
Main Methods:
- A stepwise description of a modified posterior transdural approach for TDH.
- Analysis of pre-, peri-, and postoperative considerations to optimize patient outcomes and minimize surgical risks.
Main Results:
- The modified posterior transdural approach was evaluated for its efficacy in TDH treatment.
- The technique aims to reduce the risk of spinal cord damage during surgery.
Conclusions:
- The modified posterior transdural approach is an effective technique for managing thoracic disc herniation (TDH).
- This method significantly minimizes the risk of spinal cord damage, thereby improving patient outcomes.
