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Combined intra-extradural approach for posterolateral thoracic disk herniations: how I do it
Ciro Mastantuoni1, Maria Rosaria Scala2, Raffaele de Falco2
1Division of Neurosurgery, Santa Maria Delle Grazie Hospital, AslNa2Nord, Via Domiziana 1, Località La Schiana, 80078, Pozzuoli, Naples, Italy. mastantuoniciro@gmail.com.
Acta Neurochirurgica
|October 5, 2024
Summary
The combined intra-extradural approach offers an effective surgical option for posterolateral thoracic disc herniations, minimizing risks of spinal cord damage and cerebrospinal fluid leaks.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Degenerative Spine Disease
Background:
- Thoracic disc herniation is a rare condition causing significant neurological deficits.
- Optimal surgical approaches for thoracic disc herniation remain debated.
Purpose of the Study:
- To describe a combined intra-extradural surgical technique for posterolateral thoracic disc herniation.
- To highlight methods for improving outcomes and reducing complications.
Main Methods:
- A four-step surgical technique: bony, extradural, intradural, and intra-extradural.
- Detailed description of the combined intra-extradural approach for posterolateral thoracic disc herniation.
- Emphasis on perioperative strategies to enhance results and minimize risks.
Main Results:
- The combined intra-extradural approach was utilized for posterolateral thoracic disc herniation.
- Perioperative strategies were disclosed to improve outcomes and reduce complications.
Conclusions:
- The combined intra-extradural approach is an effective treatment for posterolateral thoracic disc herniations.
- This technique reduces the risk of spinal cord injury and post-operative cerebrospinal fluid leaks.
