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Posterolateral approach to thoracic disk herniations through transversoarthropediculectomy
Surgical Neurology
|April 1, 1985
Summary
This study presents a transversoarthropediculectomy technique for thoracic disc herniation, preserving vital neurovascular structures. The approach involves vertebral body osteotomy, disk excision, and posterior osteosynthesis for successful outcomes.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Thoracic Surgery
Background:
- Thoracic disc herniations are rare but can cause significant neurological deficits.
- Surgical approaches to the thoracic spine present unique challenges due to anatomical complexity and proximity to vital structures.
Observation:
- A novel surgical technique, transversoarthropediculectomy, was utilized in three cases of thoracic disc herniation.
- This approach allows for initial identification and preservation of the delicate vasculoneural elements.
Findings:
- The transversoarthropediculectomy technique facilitates direct access to the herniated disc fragment.
- Key procedural steps include osteotomy of adjacent vertebral bodies, laminectomy post-excision, and posterior osteosynthesis.
Implications:
- This surgical method offers a potentially safer and effective option for managing thoracic disc herniations.
- Preservation of neurovascular structures is a critical advantage, potentially reducing surgical morbidity.