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Minimally Invasive Lateral Approach for Calcified Thoracic Disc Herniations: Technical Considerations and Outcomes

Kareem Khalifeh^1,2, Burak Ozgur², Adam Kanter²

¹Department of Neurosurgery, University of California San Diego School of Medicine, La Jolla, California, USA.

|February 14, 2025

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The lateral retropleural approach offers a promising minimally invasive option for calcified thoracic disc herniation (TDH), potentially improving outcomes. Further research is needed to fully establish its efficacy and safety compared to traditional methods.

Area of Science:

Neurosurgery
Spinal Surgery
Minimally Invasive Techniques

Background:

Symptomatic thoracic disc herniation (TDH) is rare and surgically challenging due to anatomical constraints.
Calcified TDH presents unique difficulties, requiring careful surgical planning.
Existing surgical methods for TDH often have high complication rates and prolonged recovery.

Purpose of the Study:

To review the current literature on the lateral retropleural approach for managing calcified thoracic disc herniation.
To evaluate the efficacy, technical considerations, and potential challenges of this minimally invasive technique.

Main Methods:

Narrative review of existing studies on the lateral retropleural approach for calcified TDH.
Analysis of reported clinical and operative outcomes, technical nuances, and complications.

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Main Results:

The lateral retropleural approach shows potential advantages for calcified TDH, including improved clinical and operative outcomes.
Limited research currently exists specifically on the efficacy of this minimally invasive technique for calcified TDH.

Conclusions:

The lateral retropleural approach may be a beneficial option for selected cases of calcified TDH.
More research is warranted to solidify the evidence base for this minimally invasive surgical technique.