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Technical Nuances of the Posterior Transpedicular Thoracic Diskectomy: 2-Dimensional Operative Video – Lumbar Spinal Stenosis

This article discusses the unique challenges associated with thoracic disk herniations, which are relatively rare compared to cervical and lumbar disk pathology. These herniations are often calcified, making them difficult to remove due to their adherence to the dura and the anatomy of the thoracic spinal canal. The article presents a case study of a 64-year-old male patient who experienced progressive paraplegia due to a large ventral, eccentric, calcified thoracic disk herniation causing severe canal stenosis. The surgical approach involved a thoracic laminectomy with costotransversectomy and pediculectomies to successfully remove the disk and achieve ventral decompression. The patient made a full neurologic recovery after the surgery. The video accompanying the article highlights the principles and technical nuances of thoracic disk resection

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most specialised spinal facility in UK

Published article

Thoracic disk herniations are relatively rare when compared with cervical and lumbar disk pathology accounting for less than 3% of spinal disk herniations.1 In addition to this, a larger proportion of thoracic disk herniations are calcified making them challenging to remove because of adherence to the dura and anatomy of the thoracic spinal canal.2,3 Owing to these unique features of thoracic disk herniations, typical posterior approaches are not always feasible to provide adequate decompression…

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Oper Neurosurg (Hagerstown). 2024 Feb 8. doi: 10.1227/ons.0000000000001087. Online ahead of print.ABSTRACTThoracic disk herniations are relatively rare when compared with cervical and lumbar disk pathology accounting for less than 3% of spinal disk herniations.1 In addition to this, a larger proportion of thoracic disk herniations are calcified making them challenging to remove because of adherence,

Oper Neurosurg (Hagerstown). 2024 Feb 8. doi: 10.1227/ons.0000000000001087. Online ahead of print.

ABSTRACT

Thoracic disk herniations are relatively rare when compared with cervical and lumbar disk pathology accounting for less than 3% of spinal disk herniations.1 In addition to this, a larger proportion of thoracic disk herniations are calcified making them challenging to remove because of adherence to the dura and anatomy of the thoracic spinal canal.2,3 Owing to these unique features of thoracic disk herniations, typical posterior approaches are not always feasible to provide adequate decompression of the thecal sac.4 In this video, we present a 64-year-old male patient who presented with progressive paraplegia and a large ventral, eccentric, calcified thoracic disk herniation causing severe canal stenosis. Because of the size and location of the disk, a thoracic laminectomy with costotransversectomy and pediculectomies for resection of the disk was performed. Ventral decompression was achieved, and the patient made a full neurologic recovery. This video highlights the principles and technical nuances used during thoracic disk resection. The patient provided informed consent for surgery and video recording.

PMID:38329352 | DOI:10.1227/ons.0000000000001087

The London Spine Unit : most specialised spinal facility in UK

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Technical Nuances of the Posterior Transpedicular Thoracic Diskectomy: 2-Dimensional Operative Video

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Oper Neurosurg (Hagerstown). 2024 Feb 8. doi: 10.1227/ons.0000000000001087. Online ahead of print.ABSTRACTThoracic disk herniations are relatively rare when compared with cervical and lumbar disk pathology accounting for less than 3% of spinal disk herniations.1 In addition to this, a larger proportion of thoracic disk herniations are calcified making them challenging to remove because of adherence
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