Combined intra-extradural approach for posterolateral thoracic disk herniations: how I do it.

Acta Neurochir (Wien)

Division of Neurosurgery, Santa Maria Delle Grazie Hospital, AslNa2Nord, Via Domiziana 1, Località La Schiana, 80078, Pozzuoli, Naples, Italy.

Published: October 2024

AI Article Synopsis

  • Thoracic disc herniation is a rare condition that can lead to serious neurological issues, and there's ongoing debate about the best surgical methods to treat it.
  • This text explains a combined intra-extradural surgical approach, detailing a four-step technique that includes bony, extradural, intradural, and intra-extradural stages to treat posterolateral thoracic disk herniations.
  • The study concludes that this surgical method effectively minimizes the risk of spinal cord injuries and cerebrospinal fluid leaks post-surgery.

Article Abstract

Background: Thoracic disc herniation is a rare degenerative spine disease that can cause severe neurological deficits. Nowadays, controversies still stand on the most effective surgical route.

Method: Herein, we describe the combined intra-extradural approach for a posterolateral thoracic disk herniation. We divided the technique into four steps: bony, extradural, intradural and intra-extradural. We disclose perioperative shrewdness aimed at improving outcomes and reducing complications.

Conclusion: The combined intra-extradural approach represents an effective technique for posterolateral thoracic disk herniations, reducing both the risk of spinal cord damages and post-operative CSF leaks.

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Source
http://dx.doi.org/10.1007/s00701-024-06278-6DOI Listing

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