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A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
Ali Baram1, Mario De Robertis2, Francesco Costa2,3
1Department of Neurosurgery, IRCSS Humanitas Research Hospital, Via Alessandro Manzoni 56, 20089, Milan, Rozzano, Italy. ali.baram@humanitas.it.
Background:
Thoracic myelopathy can have different aetiologies. Based on the location and on the nature of spinal cord compression, different surgical approaches may be indicated.
Method:
We present a rare case of thoracic myelopathy caused by the coexistence of a giant disc herniation, OPLL and OLF, and we describe the surgical approach, with a focus on technical nuances and strategies to avoid complications.
Conclusion:
Careful presurgical planning and microsurgery are fundamental in achieving a satisfactory spinal cord decompression. IONM, endoscopy-assisted microsurgery and intraoperative navigation can enhance the safety of surgery and the extent of safe surgical decompression.
