Background: Thoracic disc herniation (TDH) is a rare condition with severe neurological sequelae. Surgical management is still a matter of debate and challenging. Method: We present a modification of the transdural approach for TDH. The approach has been described in a stepwise fashion, analysing pre-, peri-, and postoperative strategies to improve patients’ management and reduce approach-related morbidity. Conclusion: The modified posterior transdural approach represents an effective technique for TDH, minimizing the risk of spinal cord damages, which can dramatically affect the outcome.

How I do it: posterior transdural approach for central soft thoracic disk herniation / Mandelli, C.; Spina, A.; Calvanese, F.; Mortini, P.. - In: ACTA NEUROCHIRURGICA. - ISSN 0001-6268. - 162:9(2020), pp. 2051-2054. [10.1007/s00701-020-04387-6]

How I do it: posterior transdural approach for central soft thoracic disk herniation

Calvanese F.;Mortini P.
2020-01-01

Abstract

Background: Thoracic disc herniation (TDH) is a rare condition with severe neurological sequelae. Surgical management is still a matter of debate and challenging. Method: We present a modification of the transdural approach for TDH. The approach has been described in a stepwise fashion, analysing pre-, peri-, and postoperative strategies to improve patients’ management and reduce approach-related morbidity. Conclusion: The modified posterior transdural approach represents an effective technique for TDH, minimizing the risk of spinal cord damages, which can dramatically affect the outcome.
2020
Discectomy
Spinal cord
Thoracic disc herniation
Transdural approach
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/108409
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