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Updated: Jun 10, 2025

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

Multilevel thoracic myelopathy: full-endoscopic solution. Illustrative case.

Sukumar Sura¹, Harshit Dave¹, Abhinandan Reddy Mallepally¹

¹Departments of Spine Surgery, Asian Spine Hospital, Hyderabad, India.

Journal of Neurosurgery. Case Lessons

|October 14, 2024

Summary

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Full-endoscopic spine surgery offers a safe and effective minimally invasive option for treating complex thoracic myelopathy. This technique minimizes damage and avoids fusion, even in challenging cases with multiple spinal disorders.

Area of Science:

Neurosurgery
Spine Surgery
Minimally Invasive Procedures

Background:

Thoracic myelopathy, though uncommon, leads to significant disability.
Early surgical intervention is crucial for multilevel spinal compression.
Surgical techniques have advanced from open procedures to full-endoscopic approaches.

Purpose of the Study:

To report a unique case of thoracic myelopathy managed with full-endoscopic spine surgery.
To highlight the efficacy of minimally invasive techniques for complex spinal conditions.

Main Methods:

A 31-year-old male with thoracic disc herniation (TDH) and ossification of the ligamentum flavum underwent a single-sitting, full-endoscopic procedure.
The case involved noncontiguous spinal levels, complicating surgical planning.

Keywords:

endoscopic spine surgery ossification of the ligamentum flavum thoracic OLF thoracic disc herniation thoracic endoscopic surgery thoracic myelopathy

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Main Results:

Uniportal full-endoscopic spine surgery proved safe and effective for this complex thoracic myelopathy case.
The procedure resulted in minimal tissue damage, enhanced visualization, and reduced spinal cord handling.

Conclusions:

Full-endoscopic spine surgery is a viable, less invasive alternative for thoracic myelopathy.
The transforaminal and interlaminar approaches offer complementary benefits for anterior and posterior thoracic pathologies, respectively.
This technique avoids spinal destabilization and fusion.