Background: Thoracic disk herniations (TDHs) represent only 0.15% to 1.8% of surgically managed disk herniations but have posed a particular challenge to spine surgeons. Numerous surgical approaches have been cited in the literature with varying degrees of success, technical complexity, and complication profiles.
Objective: To report a case of a combined lateral retropleural and dorsal transdural approach for complex thoracic discectomy.
Methods: In this report, we describe a combined lateral/retropleural and posterior transdural approach for a patient with a giant calcified TDH that was not amenable to safe removal using a single approach.
Results: In complex situations such as this, a dual corridor approach allows for improved visualization and maximal resection opportunity and opens up yet another option to address recalcitrant TDH.
Conclusion: The staged dual corridor approach is safe and represents a further surgical option for extremely difficult TDH.
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